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TD Pre-Qualification Form

Alachua County TD Pre-Qualification Form
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Alachua County Transportation Disadvantaged (TD) Program

This brief pre-qualification form will help determine if you may be eligible for the Transportation Disadvantaged Program. The program assists individuals who are unable to transport themselves or purchase transportation due to a disability, income status, or age.

Based on your responses, we will provide guidance on next steps. If you are eligible, you will need to submit a complete application with supporting documentation.

Pre-Qualification Assessment

* = Required field

Please answer the following questions

Note: If you live inside the service area you will need to apply for ADA certification through the Center for Independent Living (CIL) at (352) 378-7474 and get a doctor's verification of your disability.

For all states (except Alaska and Hawaii) and for the District of Columbia

✓ You May Be Eligible

Based on your responses, you may be eligible for the Alachua County Transportation Disadvantaged Program. Please download the Transportation Disadvantaged Application or call (352) 334-2600 for more information about the application process and required supporting documents.

✗ You Are Not Eligible

Based on your responses, you do not meet the current eligibility criteria for the Transportation Disadvantaged Program. If you think this is in error, please call (352) 334-2600 for more information.