Get Regional Reduce Fare Permit Application - Intercity Transit

The Regional Reduced Fare Permit Application allows eligible individuals to apply for reduced transit fares. Filling out this application online can streamline the process and ensure that your request is processed efficiently.

Follow the steps to complete your application online.

1. Click ‘Get Form’ button to access the application and view it in the editor.
2. Begin filling out the applicant information. Provide your full name, including first, middle, and last names. Ensure accuracy in this section as it is crucial for your identification.
3. Enter your address, including street, city, state, and zip code. This information is essential for processing your application.
4. Fill in your date of birth and phone number. These details assist in confirming your identity and eligibility.
5. Indicate your basis for applying for the reduced fare permit by checking only one box. Choose the option that accurately reflects your eligibility, such as age or disability status.
6. If applicable, provide details on any temporary or permanent disabilities, or attach necessary documentation required for verification. This may include Medicare cards or notices from the Veterans Administration.
7. Review the Medical Eligibility Criteria and ensure compliance. This is critical for successful application approval.
8. Sign and date the application in the designated area. Your signature is an affirmation of the truthfulness of the information provided.
9. If a health care provider is required for certification, ensure they fill out the required section, including their signature and contact information.
10. Once all fields are completed and reviewed for accuracy, you can save changes, download, print, or share the application as needed.

Start your application today to secure your reduced fare permit online.