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Paratransit Eligibility Application - Palm Beach County, Florida 2026
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- Click ‘Get Form’ to open the Paratransit Eligibility Application in the editor.
- Begin with Part 1: General Rider Information. Fill in your last name, first name, middle initial, address, and contact details. Ensure all fields are completed accurately.
- Indicate any mobility aids you use by checking the appropriate boxes. If applicable, specify if you require a Personal Care Attendant (PCA) for assistance.
- Proceed to Part 2: Applicant Signature Page. Review the confidentiality statement and sign the application. If someone assisted you, provide their contact information.
- In Part 3: Verification of Income, report your total monthly income and attach proof as specified. Complete any additional questions regarding your physical or mental impairments.
- Finally, complete Part 4: Verification of Disability by checking all applicable reasons for seeking eligibility and providing detailed descriptions of your disabilities.
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