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Get FL Paratransit Eligibility Application 2010-2024

in an application may be denied eligibility for Paratransit services. Applicant’s Signature: _______________________________ Date: ______________________ If someone assisted you in completing this form, please provide contact information: Name: _______________________________ Phone: _____________________________________ In Case of an Evacuation: In the event of a mandatory evacuation order issued by Palm Beach County Emergency Management due to a Hurricane or Flood, would you need transporta.

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