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Get Sunpass Non Revenue Form

Please send me a NEW permit. I understand that providing false information to obtain this permit will result in revocation of all Toll Permits and Non-Revenue SunPass Transponders issued to me and/or possible legal action by the Florida Department of Transportation or appropriate authority. STATE OF FLORIDA COMMISSION FOR THE TRANSPORTATION DISADVANTAGED C/O FLORIDA DEPARTMENT OF TRANSPORTATION 605 Suwannee Street MS-49 Tallahassee Florida 32399-0450 1-800-983-2435/1-850-410-5700 www. dot. state. fl.us/ctd Application for ADDITIONAL OR REPLACEMENT DISABLED TOLL PERMIT For use by existing Orange Toll Permit patrons ONLY MSMS MR Drivers License FIRST Name Florida Other Specify state MIDDLE Name LAST Name Orange Permit Vehicle Year Address Vehicle Make Apt. STATE OF FLORIDA COMMISSION FOR THE TRANSPORTATION DISADVANTAGED C/O FLORIDA DEPARTMENT OF TRANSPORTATION 605 Suwannee Street MS-49 Tallahassee Florida 32399-0450 1-800-983-2435/1-850-410-5700 www. dot. state. fl*us/ctd Application for ADDITIONAL OR REPLACEMENT DISABLED TOLL PERMIT For use by existing Orange Toll Permit patrons ONLY MSMS MR Drivers License FIRST Name Florida Other Specify state MIDDLE Name LAST Name Orange Permit Vehicle Year Address Vehicle Make Apt. Date of Birth Vehicle Model City Name Vehicle Registered To State VIN Area Code Zip Phone Number - License Plate Please send me I have already transferred my orange permit to the replacement vehicle. Please send me a new ELIGIBILITY LETTER ONLY. I was not able to transfer my orange permit to the replacement vehicle. Applicant s SIGNATURE OFFICE USE ONLY Eligible Staff Date Permit NOT Eligible is hereby authorized for use by Sent this day of 20. dot. state. fl*us/ctd Application for ADDITIONAL OR REPLACEMENT DISABLED TOLL PERMIT For use by existing Orange Toll Permit patrons ONLY MSMS MR Drivers License FIRST Name Florida Other Specify state MIDDLE Name LAST Name Orange Permit Vehicle Year Address Vehicle Make Apt. Date of Birth Vehicle Model City Name Vehicle Registered To State VIN Area Code Zip Phone Number - License Plate Please send me I have already transferred my orange permit to the replacement vehicle. Date of Birth Vehicle Model City Name Vehicle Registered To State VIN Area Code Zip Phone Number - License Plate Please send me I have already transferred my orange permit to the replacement vehicle. Please send me a new ELIGIBILITY LETTER ONLY. I was not able to transfer my orange permit to the replacement vehicle. dot. state. fl*us/ctd Application for ADDITIONAL OR REPLACEMENT DISABLED TOLL PERMIT For use by existing Orange Toll Permit patrons ONLY MSMS MR Drivers License FIRST Name Florida Other Specify state MIDDLE Name LAST Name Orange Permit Vehicle Year Address Vehicle Make Apt. Date of Birth Vehicle Model City Name Vehicle Registered To State VIN Area Code Zip Phone Number - License Plate Please send me I have already transferred my orange permit to the replacement vehicle. Please send me a new ELIGIBILITY LETTER ONLY. I was not able to transfer my orange permit to the replacement vehicle.

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Keywords relevant to Sunpass Non Revenue Form

  • MS-49
  • revocation
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  • ELIGIBILITY
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  • patrons
  • APT
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