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Get Palm Tran Paratransit Eligibility Application 2014-2023

Chair exceeds 600 pounds. B. Do you require the assistance of a Personal Care Attendant (PCA) (someone who must travel with you to assist you with daily life functions)? Please note that we may require you to travel with a PCA if your condition or disability is severe. ○ No ○Always ○Sometimes C. Do you need to have information given to you in an alternative format? If yes, please indicate: ○Large print ○Audio CD/Tape ○Braille ○Other: 1 Part 2 Applicant Certification - Sign.

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