Transcription of Transport Access Scheme Information and Application
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Transport Access Scheme Information and Application
Transport Access Scheme Application form Please read the guidelines attached to this formDepartment of State GrowthPart one: To be completed by the applicant or their advocateWhich concession/s are you applying for? Please mark applicable boxes with X:For taxi subsidies you must provide a copy of both sides of your current Pensioner Concession Card, Health Care Card or Commonwealth Seniors Health Card issued by Centrelink or your Pensioner Concession Card issued by the Department of Veterans Affairs(DVA) but not a DVA Gold Card. This requirement is waived if you are wheelchair ConcessionsTaxi SubsidiesWheelchair Accessible Taxi SubsidiesTitle: Family name: Given name(s): Residential address: Suburb/Town: Postcode: Postal address (if not same as above): Suburb/Town: Postcode: Mobile: Daytime phone number: dd/mm/yyyyDate of birth: Email address: Applicant (person with disability) informationMember number:office use onlyTitle: Family name: Given name(s): Residential address: Suburb/Town: Postco
Eligibility for TAS does not take into account the status of a person’s driver licence, the availability of public transport or proximity to public transport. In addition, to be eligible for the Taxi Subsidy Program, the applicant must hold one of the following current concession cards: ... • by email passenger.transport@stategrowth.tas.gov ...
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