ADA Paratransit Application Form
ADA Paratransit serves points of origin and destination within 3/4 of a mile of Space Coast Area Transit’s Fixed Route Service, which includes most of Brevard County from Titusville to Palm Bay. The ADA Certification Form explains how an individual's disability prevents him/her from riding Space Coast Area Transit's Fixed Route Bus System and determines eligibility. The form may be completed by the applicant or by a qualified professional familiar with the applicant's condition. If completed by the applicant, Section 3, Request For Professional Verification, must also be Filled out. Applications in Braille, large type and on tape are also available upon request.
Applicants are eligible for 21 days of service while their ADA Eligibility Certification Form is being processed. Additionally, applicants are eligible for 21 days of out-of-town-service if they have ADA Paratransit Certification from another public entity. After an applicant's ADA Paratransit eligibility is certified, an ADA Eligibility Card and ride-reservation information will be mailed to the applicant within 4 weeks of the date their form was received. The ADA Eligibility Card will be valid for 3 years from date of issue. If eligibility is denied, a letter will be mailed to the applicant explaining the reason for denial and advising him/her of the process to appeal.
To apply, please complete and submit the following online ADA Application form and upload a copy of a State ID as per the instructions below. Alternatively, you may print and manually complete the ADA Application. Please return the signed application, along with a copy of a State ID, to Space Coast Area Transit at 401 South Varr Ave., Cocoa, FL, 32922. If you have any questions, need assistance with the application, or would like to schedule initial service, please contact Customer Service at (321) 635-7815 ext. 52937 or email email us.