Attached to this application is a photocopy of my MTA Reduced-Fare ID. An applicant 62 years of age or older who is not enrolled, may enroll in the Reduced Fare Program through the Senior Citizen Program. For example, the base fare for subways and local buses is $2.75, so the reduced fare is $1.35. Eligible customers can travel on accessible buses and trains at a reduced fare on daily, monthly and 30-day passes. Medical Release Consent In connection with my application for a Kern Transit Reduced Fare ID Card, I, (Name of Applicant) . Complete the Reduced Fare Application. We have resumed processing MetroCard claims, following a pause in processing because of the pandemic. Box 1358 Burlington, NC 27216 NAME PHONE ADDRESS CITY, STATE, ZIP CODE BIRTH DATE Please check the appropriate qualification box below. Orders must be received no later than the 25 th of each month, or by the 21st if a holiday falls within the last 7 days of the month. The Persons with Disabilities TAP Card Program makes it easy for passengers with disabilities to qualify for reduced fares at TAP-participating agencies. Determination of Rules. Start completing the fillable fields and carefully type in required information. The Regional Reduced Fare Permit is a cooperative program developed through the Puget Sound Regional Council . Medicare (S/D/M Program). . MT-301 (5-18) APPLICATION REDUCED TRANSIT FARE IDENTIFICATION CARD REDUCED TRANSIT FARE PROGRAM FOR PERSONS WITH DISABILITIES www.penndot.gov I certify that the above named individual qualifies for a disability Reduced Fare Transit Identification Card because: (please check as many reasons as are applicable. Report lost or stolen cards immediately to Topeka Metro by calling 783-7000. Replacement of Reduced Fare Card If you need to replace a lost or stolen Reduced Fare photo ID card, skip this form and visit GET's administrative photos will be taken at 1900 Kentucky St. 5. The Metropolitan Transportation Authority's (MTA) Reduced-Fare MetroCard Riders who are eligible for the subsidized annual pass, currently defined by enrollment in one of six state Reduced Card Number Application for Fixed Route Transportation Services (Free Fare for 65+ and Reduced Fare for Persons with Disabilities) Important All customers must complete Parts 1, 2 If you have a disability, please complete Part 3 - See attached definition of functional impairments * PLEASE PRINT * Transit Reduced Fare Card at the City of Yakima, Public Works Administration Building at 2301 Fruitvale Blvd., Yakima, WA. I am providing proof of my eligibility for Reduced Fares through another transit agency (Temporary - one time qualification, must obtain Skagit Transit qualification within 6 months). I am applying for a reduced fare identification card based on the following: Senior (age 62 & over) Disabled Youth (age 6-17) I am providing proof of my eligibility for Social Security Disability Benefits or This card does not entitle the holder to Lift services. Reduced Fare ID Application understand that if any of the statements made on this application form are false or inaccurate, I will lose the privileges granted by the Reduced Fare Card and be subject to criminal prosecution in accordance with Georgia State Law for fraud (O.C.G.A. Regional Reduced Fare Permit — Participating Transit Agencies. Reduced Fare ID Card Application Form For Persons Age 65 and Older The holder of a Topeka Metro CostReduced Fare ID Card is entitled to pay a reduced fare (using cash, ride cards or a 31-day pass) for fixed route bus service. 52, No. Section A. (856) 772-6900 (215) 922-4600 www.ridepatco.org For FREEDOM Card information, call (877) 373-6777 Port Authority Transit Corporation A subsidiary of the Delaware River Port Authority Reduced Fare Program Other alternatives to this process can be made by calling Customer Service at 503-588-2877. You must present a Social Security Card and proof of age (a birth certificate or a driver's license.) This application is only for persons with disabilities who are not age 65 and over. For further information, call or visit the MTA Certification Office at 6 Saint Paul Street (Lobby Level); Baltimore, MD 21202, telephone 410-767-3438. reduced fare: • Senior: Individuals 65 years of age NJ TRANSIT. Please mail completed order form to the following address: MTA Transit Store 6 St. Paul Street 1 st Floor Baltimore, Maryland 21202. Clallam Transit. Link Transit P.O. Rider Reduced Fare Identification Card will be mailed to the address on file FREE of charge. for a Metropolitan Transportation Authority Reduced-Fare MetroCard (RFM) issued to people 65 years of age and older and people with disabilities. The Detroit Department of Transportation (DDOT) Reduced Fare program enables eligible riders to ride DDOT's fixed route buses at a reduced rate of 50 cents per trip. Reduced Fare Transit Photo ID Card Application Program for Senior Citizens (65 years or older) or Persons with a Qualifying Disability A Service of the Connecticut Department of Transportation Senior citizens (65 years +) and persons with a qualifying disability can travel for a reduced fare at any The MTA will assess all information provided and determine eligibility and duration for participation in the MTA Reduced Fare Program. 2. signNow has paid close attention to iOS users and developed an application just for them. There is also a Reduced-Fare MetroCard for riders who use mobility aids or have service animals. Eligibility for a Reduced Fare Taxi Card requires that the applicant is at least 60 years of age and a resident of Fairfield or Suisun City, or be qualified for ADA paratransit. . You must fill out an application form for the Half-Fare MetroCard and file it with the MTA. Please Submit Application to: Reduced Fare Card Application Kern Transit 2700 M St. Suite 400, Bakersfield, CA 93301 Reduced Fare Card Application Section A: Applicant Information ATTACH PHOTO HERE. Any person who qualifies for Medicare need not have this form certified by a physician, but may obtain a card from the transit . Who should apply for a Reduced Fare Permit? Your first Reduced Fare Card is free, however, there is a $5.00 fee charged for a replacement card. Need help or have questions? Receied by: Date Receied: Discounted fares on local transit services are available to those who qualify. The Central Ohio Transit Authority has adopted the fol-lowing definition of handicapped person to enable compli-ance with section 5(m) of the Urban Mass Transportation Act of 1974 which, together with criteria for establishing Am I eligible? The application process is free. The reduced fare may be paid by monthly pass, two-hour, or exact cash fare. reduced fare mta application create electronic signatures for signing a half fare metro card application form in PDF format. 19, October 5, 2020 2020Date 16:73-2.1 - Senior Citizens Registration for NJ TRANSIT Reduced Rate Photo ID(a) People may receive NJ TRANSIT Photo ID on , NJ TRANSIT Customer Service Office, either by writing or calling new Jersey's reduced travel plan in: New Jersey Department of Finance • People who are age 65 or older. How do I apply? Section E. REGISTRATION for S/D/M BALANCE PROTECTION Return Application in Person to: MTS Transit Store, 1255 Imperial Avenue - 1st Floor San Diego, CA 92101 Hearing-Impaired Customers: TDD -Southern San Diego County 619.234.5005 TDD - Northern San Diego County 1.888.722.4889 This program provides reduced fare for eligible customers. Metro's reduced fare program through which qualifying riders can save up to 50 percent or more on transit fares on Metro and numerous other regional transit providers. However, there will be a $3.00 fee for replacement cards. The City of Jefferson offers a reduced transit fare program for persons age 60 and older, persons with disabilities, and Medicare cardholders. date ACCESSIBLE SERVICES VIA METRO CENTER 1021 SAN PEDRO AVENUE SAN ANTONIO, TX 78212 Reduced fare cards are not transferable to other individuals. VIA Metropolitan Transit 06/18 Print TERMS AND CONDITIONS S I G N applicant's signature parent or guardian's signature (if applicant is under 18 yrs.) Amador Transit Reduced Fare Application Page 1 of 1 11400 American Legion Drive, Jackson, CA 95642 Phone: 209-267-9395 Fax: 209-267-1462 APPLICATION FOR REDUCED FARE Photo is required to make Reduced Fare ID Card. A Medicare card along with a state I.D. Verification of Disability Documents from the following agencies and health care professionals may be submitted to verify disabilities The Eligibility Criteria listed on page 2 of the application are the sole basis for the determination of a disability for the NJ TRANSIT Reduced Fare Program. Reduced Fare permit applicants are able to apply in person or by mail: In Person: Call 312-913-3110 to find a site near you. Perry County Transit is offering reduced fare for riders who are Disabled, Age 65 and Older. FOR EMBARK INTERNAL USE. To get a copy of the form, call the MTA Reduced-Fare Line at (718) 243-4999, Monday to Friday, 9 a.m. to 5 p.m., and ask that the application for an "MTA Reduced-Fare MetroCard for People with Disabilities" be sent to you. card will be issued upon verification of your application. Note: If you are applying for a San Diego Metropolitan Transit System (MTS) S/D/M Compass Card with a statement of disability from a physician, STOP and complete the Application for Reduced Fare (Long Form). (MTA) Reduced Fare Program for people with disabilities. This updated application is the only application that is now accepted. the information specified in Section 2 to: MTA Reduced-Fare Program, 130 Livingston Street, Brooklyn, NY 11201. If contacted by the MTA, you are authorized to discuss the Upon a determination of eligibility after processing the completed application and receipt of qualifying documentation, your E.C. Application for MTA Reduced-Fare MetroCard for People with Disabilities ALL INFORMATION WILL BE KEPT STRICTLY CONFIDENTIAL 158_18_RF Dis, Revised May 2018. 3. The Commonwealth of Pennsylvania has set forth criteria for a Reduced Transit Fare Program, as required by Section 5 of the Urban Mass Transit Act of 1964, allowing individuals under the age of 65 to submit an application for a Reduced Transit Fare Card. There is NO CHARGE for the following passes: Spouse Faded ACCES-VR Note: Current Reduced Fare ID cardholders may renew their ID cards prior to the expiration date, but not more than 6 months in advance. REDUCED FARE PROGRAM A Program for Persons with Disabilities Riding FAX Fixed-Route Buses at a Reduced Cost* 1. Read these steps carefully in order to understand the documentation required to receive a . The MTA Eligibility card enables you to ride Fixed Route or Your Ride for a discounted fare. 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