If you have any problems submitting this form, please email this information to XPressBk@DART.org OR print out this form after filling it in and mail to: DART Paratransit P.O. Box 660163 Dallas, Texas 75266-0163
First Name
Last Name
Paratransit I.D. No.
Address
Apt/Bldg #
City/ZIP
Telephone Number
Email Address
If the address listed above is not your current mailing address, please provide your correct mailing address below.
Mailing Address
City/Zip
To create your own personal trip location list, up to ten choices, use the following categories. The trip categories are provided in a drop-down menu on the form below. Please provide a complete address for trip locations to ensure accuracy.
Please add any additional comments here.
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