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Eligibility and Registration Form

1 Revised 3/23/2017 Eligibility and Registration Form Rural Transportation for persons with Disabilities (PwD) Project reduced fare transportation service may be available to you if you are: 1. A person with a disability and 2. Age 18 - 64 and 3. Need accessible public transit in a participating county beyond ADA complementary paratransit services. If you would like to participate in this project, please complete this form and send it with a copy of one of the documents listed in Part 2 below to: Community Transit of Delaware County, Inc. 206 Eddystone Avenue Eddystone, PA 19022-1514 Once your application is received and reviewed you will be notified of your Eligibility to participate.

Rural Transportation for Persons with Disabilities (PwD) Project Reduced fare transportation service may be available to you if you are: 1. A person with a disability and 2. Age 18 - 64 and 3. Need accessible public transit in a participating county …

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