Paratransit Application Form

Palm Tran Paratransit Eligibility Application 2014 Fill and Sign

Paratransit Application Form. When you have completed the application and signed the release of information form, please mail both documents to. Unsure of the requirements to qualify for paratransit?

Palm Tran Paratransit Eligibility Application 2014 Fill and Sign
Palm Tran Paratransit Eligibility Application 2014 Fill and Sign

Submitt the completed form via fax, email or dropped off at the tower city customer service center. Personal care attendants ride for free and must have the same origin and destination as the customer. When you have completed the application and signed the release of information form, please mail both documents to. Garden city, ny 11530 part a applicant information (please print) It may take up to 3 weeks after your visit to the assessment center to process your application. Web please give the completed application and any supporting documents to the professional certifier. Inform the customer service representative (csr) that you have reviewed the application online and need to obtain an id number. Web your application for pal service must specifically state that you need the assistance of a pca. Be sure to add a pca when making your reservations. Call customer service at 800.827.0829 (option 1).

When you have completed the application and signed the release of information form, please mail both documents to. Unsure of the requirements to qualify for paratransit? Garden city, ny 11530 part a applicant information (please print) Paratransit advisory committee (pac) aar resources and announcements, including the on the move. Personal care attendants ride for free and must have the same origin and destination as the customer. Web please give the completed application and any supporting documents to the professional certifier. Submitt the completed form via fax, email or dropped off at the tower city customer service center. Be sure to add a pca when making your reservations. Web your application for pal service must specifically state that you need the assistance of a pca. Web ada paratransit registration ada paratransit service applicants must call cct connect customer service to begin the registration process. It may take up to 3 weeks after your visit to the assessment center to process your application.