Follow the steps to complete your application with ease.

1. Click ‘Get Form’ button to obtain the application and open it for editing. Ensure that you have a clear view of the entire form before proceeding.
2. Fill in your cardholder contact information. The first step requires you to provide your first name, middle initial, last name, address, apartment number (if applicable), day phone, email address (optional), city, state, and zip code. All fields in this section are mandatory, except for the email address.
3. Move to the Clipper account information section. Provide any required details relevant to your Clipper account.
4. For proof of age, indicate the type of card you are applying for: Youth Clipper Card (for ages 5-18) or Senior Clipper Card (for ages 65 and over). Check the one document you are submitting and write its number below. Remember to send photocopies only and not the originals. Include details such as your mother's maiden name or city of birth for security purposes.
5. Enter your date of birth in the format MM/DD/YYYY. Be sure this is accurate as it affects your eligibility.
6. In the signature section, provide your signature along with the date. This signature confirms that all information you provided is true and correct. If you are signing on behalf of a minor, ensure you include the parent or guardian’s signature.
7. To submit your application, you can do one of the following: mail your completed form and proof-of-age documentation to the specified PO box, email scans or photos to the provided email address, or fax your application along with the proof. Allow for up to 7 business days for delivery.
8. If you need the card immediately, consider applying in person at a staffed location. More information can be found on the official Clipper website.

Start completing your application online today to access discounted fares!