Paratransit Eligibility Application - Palm Beach County, Florida 2026

1. Click ‘Get Form’ to open the Paratransit Eligibility Application in the editor.
2. 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.
3. Indicate any mobility aids you use by checking the appropriate boxes. If applicable, specify if you require a Personal Care Attendant (PCA) for assistance.
4. Proceed to Part 2: Applicant Signature Page. Review the confidentiality statement and sign the application. If someone assisted you, provide their contact information.
5. 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.
6. 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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