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Cape May County Department of Transportation Certification Application (For persons over 60 only) Name: Address: If you have a rural delivery (RFD#) of Post Office Box, please briefly describe how to locate your residence: Telephone ( ) Date of Birth: Emergency Contact: Telephone ( Disabilities (if any) : Walker, Wheelchair or Cane? Applicants Signature: Please return this application to: Cape May County Department of Transportation 4 Moore Road Cape May County, NJ 08210-1601