Get Senior Application - Clipper

Filling out the SENIOR APPLICATION - Clipper online is a straightforward process designed to help you obtain your free Senior Clipper card. This guide will provide step-by-step instructions to ensure that you complete the application accurately.

Follow the steps to successfully complete your application.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. In Step 1, provide your cardholder contact information. Fill in all required fields, including your first name, middle initial (if applicable), last name, address, and phone number. The email address is optional.
3. Proceed to Step 2 where you need to provide proof-of-age documentation. Indicate which document you are submitting and write its number. Acceptable documents include a birth certificate, driver's license, or military ID.
4. Move to Step 3 to select your preferred language for Clipper information and provide your date of birth. Additionally, choose a security question and provide the answer for account verification.
5. In Step 4, review your information and sign the application to attest that it is true and correct, including the sign date.
6. Step 5 involves submitting your application. You can either mail, email, or fax your completed application and proof of-age document. Ensure to follow the specified instructions for each submission method.
7. After completion, you may save changes, download, print, or share the form as needed.

Complete your application online today for your Senior Clipper card!