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Get Paratransit Number Harrisonburg Va Form

Cell Phone ( ) - / E-Mail Address Part B 1. What is the disability that prevents you from using HDPT fixed route service? (use the back if more room is needed) 2. How does this disability prevent you from using fixed route bus service? 3. Please explain aspects of your disability that you believe HDPT should know about. 4. Is your condition temporary? Yes No If yes , on what date will your disability no longer prevent you from using HDPT bus routes? Month Year 5. Do you.

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