Submitting an Application

Please select an application, print, complete, and mail to:

1060 Lehigh St.
Allentown, PA 18103

Photocopied, faxed, and emailed applications will not be accepted

LANTA Forms and Applications



  • Application for LANtaVan Paratransit Services Senior Shared Ride Lottery Program for People 65+ – PDF
  • Application for LANtaVan Paratransit Services for People with Disabilities – PDF


  • Medical Assistance Transportation Program Out of Service Area Certification Form – PDF
  • Mental Health Disability Professional Verification – PDF
  • LANtaVan Authorization for Disclosure of Personal Information – PDF | DOCX

Carbon County Community Transportation (CCCT)

CCCT Applications are available on CCCT’s Application Page