Get Half Fare Supplemental Application Form - Indygo

This guide provides a detailed overview of how to complete the Half Fare Supplemental Application Form for IndyGo online. It aims to assist users with clear, step-by-step instructions for each section of the form, ensuring a smooth application process.

Follow the steps to complete your application effectively.

1. Click the ‘Get Form’ button to obtain the Half Fare Supplemental Application Form. This will allow you to access the document for completion.
2. Begin by entering your name in the designated field at the top of the form. Ensure that this information is accurate and matches your identification documents.
3. The next section requires completion by a physician or an agency representative. They need to evaluate your condition and specify the relevant disabilities affecting your mobility. Encourage them to provide a detailed statement.
4. In this section, your physician or agency representative should select from the provided classifications of disabilities that apply to you. They must provide a description of any other disabilities not mentioned in the classifications.
5. After the physician or agency representative completes their section, they must sign and date the form to validate the information provided.
6. Complete the Applicant's Statement by affirming your eligibility for the half fare program. Review the statement carefully to ensure understanding of terms related to the reduced fare identification card.
7. Sign and date the Applicant’s Statement; this consent authorizes the release of necessary medical information to IndyGo.
8. In the Physician’s or Agency’s Statement section, prompt your physician or representative to fill in their details, including name, agency, address, phone number, and a description of your medical condition.
9. Ensure the physician or agency representative signs and dates the application. Their signature certifies that they believe you qualify for the reduced fare identification card.
10. Finally, review the completed form for any missing information or errors before submitting it. You can then save your changes, download, print, or share the completed application as needed.

Complete your application online to ensure a timely response and take advantage of the Half Fare program.