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ABOUT US
SERVICES
- PARATRANSIT
- VANPOOL COMMUTE
COUNTIES WE SERVE
FAQS
CONTACT US
- CONTACT US
- CAREERS

HOME
ABOUT US
SERVICES
- PARATRANSIT
- VANPOOL COMMUTE
COUNTIES WE SERVE
FAQS
CONTACT US
- CONTACT US
- CAREERS

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APPLICATION

TRANSPORTATION DISADVANTAGED Application

Select your county:

Leon

Gadsden

Taylor

Madison

Jefferson

Gulf

Franklin

SECTION I: GENERAL INFORMATION

First name*

Last name*

Address

Home address

Country/Region*

Address*

City*

Zip / Postal code*

Check one:*

House

Apartment

Mobile home

Nursing home

Group home

Is this address within the city limits?*

Yes

No

For what type of travel do you intend to use this service?*

How often do you plan to travel?*

Daily

Weekly

Monthly

Mailing Address

Mailing address

Country/Region

Address

City

Zip / Postal code

Home Phone*

Alternate Phone

Email*

SSN*

Gender

Birth Date*

Month

Day

Year

Attach copy of state ID or driver's license

Emergency contact name*

Relationship*

Emergency contact phone*

2201 Eisenhower St, Tallahassee, FL 32310

No person in the United States shall, on the basis of race, color, or national origin, be excluded from participation in, denied the benefits of, or be otherwise subjected to discrimination or retaliation, under any Federally or non-federally funded activity or program administered by a recipient of Federal financial assistance. Read the complete Title VI Policy here.

HOME
ABOUT US
SERVICES
- PARATRANSIT
- VANPOOL COMMUTE
COUNTIES WE SERVE
FAQS
CONTACT US
- CONTACT US
- CAREERS

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APPLICATION

TRANSPORTATION DISADVANTAGED Application

BIG BEND TRANSIT

COUNTIES WE SERVE

QUICK LINKS

BIG BEND
TRANSIT

COUNTIES
WE SERVE

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