Td Paratransit Application Form
Space Coast Area Transit's Transportation Disadvantaged (TD) Service Program provides transportation services throughout Brevard County to the elderly, disabled, economically disadvantaged, children at risk, and those with no feasible means of transportation. The TD Paratransit Certification Form explains how an individual's disability prevents him/her from riding Space Coast Area Transit's Fixed Route Bus System. Applications in Braille, large print and on tape are also available upon request.
Applicants are eligible for 21 days of service while their information is being processed for certification. Additionally, applicants are eligible for 21 days of out-of-town-service if they have documented TD Paratransit Certification from another public entity. After an applicant's TD Paratransit eligibility is certified, they will be notified by phone or e-mail. 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 TD Application form as well as upload the following to prove eligibility: a Medicare Card, SSD Letter or SSI Award Letter, or a letter from a medical provider and a State ID for proof of age.
Alternatively, you may print and manually complete the TD Application. Please return the signed application, along with either a Medicare Card, SSD Letter or SSI Award Letter, or a letter from a medical provider and a State ID for proof of age, 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.