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Get Honored Citizen Application

TriMet, or a TriMet Designated Administrative Agency**, to take and retain a copy of my photo. TriMet will not accept a photocopy or fax of this form. Signature of applicant Date 140613 9/14 Health care provider certification section: This form is used for Individuals with permanent or temporary disabilities. This also includes individuals who may need an attendant to ride TriMet service. Patient/applicant.

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