Eligibility:

• Reduced fare transportation service may be available to you if you are:
  1. A person with a disability and
  2. Age 18 - 64 and
  3. Need accessible public transit in a participating county beyond ADA complementary paratransit services.
     
• If you would like to participate in this project, please complete the below form and send it with a copy of one of the documents listed in Part 2 to:
  

Luzerne/Wyoming Counties Transportation Dept.
2009 Wyoming Ave.
Forty Fort, PA  18704

• Once your application is received you will be notified of your eligibility to participate.
  
• If you have any questions about this project, this form or need the form in an alternate format please call:

(570) 288-8420

NOTE:  The information provided in this application regarding your disability will be used to determine your eligibility for reduced fare transportation services under the PwD Project. Other information within the form will be used for data collection purposes, to determine your eligibility for any additional transportation programs, and to provide you with appropriate type of service. This information will be kept confidential and used only by professionals involved in evaluating your eligibility and in analyzing the pilot project for future recommendations. Please type or print clearly.

Registration Form:

Please click the link below for the application for Rural Transportation for Persons with Disabilities (PwD) Project.

Rural Transportation for Persons with Disabilities (PwD) Project Application