Get Fl Psta Application For Transportation Disadvantaged (td) Program 2014-2025

This guide provides step-by-step instructions for completing the FL PSTA Application For Transportation Disadvantaged (TD) Program online. It is designed to assist users in understanding each section of the application, ensuring a smooth and successful submission process.

Follow the steps to complete your application online with ease.

1. Press the ‘Get Form’ button to access the application form and open it in your online editor.
2. Begin by entering the date, your full name, address, city, state, ZIP code, and phone number. This information is essential for identification and communication.
3. Provide your date of birth. This information helps confirm your eligibility for the program.
4. Answer question 1 regarding your current access to transportation for vital trips. Select 'Yes' or 'No' based on your situation.
5. For question 2, indicate your eligibility for a bus pass from Medicaid or other agencies. If applicable, specify which agency.
6. Respond to question 3 by indicating whether you possess an ID from St Petersburg College, USF-St Pete, or the City of St Petersburg, which allows for free rides.
7. Question 4 requires you to confirm if you can use PSTA's accessible buses for your trips. If 'No,' briefly explain why.
8. Fill out the relevant program ID numbers for Medicaid and Medicare. Additionally, provide the name of the agency you are associated with, if applicable.
9. For question 6, indicate if you have any physical or mental disabilities and specify the type(s) if applicable.
10. Answer question 7 regarding wheelchair use in your household.
11. In the provided table for question 8, list each household member's name, date of birth, relationship to you, and monthly gross income. Ensure you include all household members, including yourself.
12. Complete question 9 by stating the total number of persons residing in your household.
13. Question 10 requires you to sum the monthly gross income listed for your household.
14. Attach proof of income from each source as detailed in the application. Remember that income verification must be provided for all household members.
15. Answer the questions in section 12, which ask about the number of days you need transportation for various vital purposes in the upcoming month.
16. Review your application for accuracy and completeness. Make sure all fields are filled out and that required documents are attached.
17. Sign and date the application, affirming that the information provided is truthful to the best of your knowledge.
18. After completing the application, you can save the changes, download, print, or share it as needed. Ensure you follow the submission guidelines outlined in the document.

Complete your application online today to access transportation services that can help meet your essential travel needs.