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Get APPLICATION FOR REDUCED FARE Fare Picture ID (Short Form)

S with Medical Disabilities - Application for Reduced Fare (Long Form). Otherwise, please fill out the application below. All questions must be answered completely before your application will be considered. Please PRINT clearly. Last Name First Name MI Apt. No. Street Address State City ZIP Check the appropriate box: 1. Senior Phone Number E-mail Address: Date of Birth 60 or older? Yes No 2. Medicare Identification Card (Medi-Cal NOT eligible) 3. Supplemental Security Income (.

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