Get Smartbenefits Program Application Form

This guide provides clear and comprehensive instructions to help you successfully complete the Smartbenefits Program Application Form online. By following these steps, you can ensure a smooth application process for your transit subsidy benefits.

Follow the steps to complete the application effectively.

1. Press the ‘Get Form’ button to obtain the application form and access it for editing.
2. Read the rules of participation carefully to ensure you are eligible for the program. Confirm your eligibility before proceeding.
3. Complete the eligibility questions regarding your use of Metrocheks, the registration of your SmarTrip® Card, and your authorization for the Department of Transportation to verify your information.
4. If your answers to the eligibility questions are all 'Yes', proceed to fill in your personal details including your name, last four digits of your Social Security Number, office phone number, and your authorized monthly SmartBenefits® subsidy amount.
5. Locate your SmarTrip® Card serial number, found on the back of the card in the lower right-hand corner, and enter it into the designated field.
6. Read and sign the employee certification statement, confirming your employment and compliance with the terms of the transit subsidy benefits.
7. Ensure to attach an enlarged photocopy of the back of your SmarTrip® Card, with the serial number clearly visible, to your application.
8. Submit the completed application to your Bureau/Office Transportation Subsidy Program Coordinator for processing.
9. Once your application is submitted, you can save changes, download, print, or share the form as needed.

Complete your Smartbenefits Program Application Form online today to secure your transit benefits.