Transcription of PERSONS WITH DISABILITIES PERMIT APPLICATION
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PERSONS WITH DISABILITIES PERMIT APPLICATION
REDUCED FARE PERMIT . PERSONS WITH DISABILITIES . PERMIT APPLICATION . RTA PERSONS with DISABILITIES Who Qualifies for a PERSONS with Ride Free PERMIT DISABILITIES Reduced The RTA PERSONS with DISABILITIES Ride Free Fare PERMIT ? PERMIT allows qualifying customers with A. Applicants with DISABILITIES receiving Social DISABILITIES to ride at no cost on CTA, Metra Security or SSI benefits and Pace fixed route bus and rail service. Applicants must be age 64 or under and B. Medicare card holders receiving Social Security benefits, including PERSONS who do RIDE FREE PERMIT . enrolled in the Benefit Access Program administered by the Illinois Department on not have a disability and are under the Aging (DOA). For more information about the age of 65. DOA Benefit Access Program visit C. Veterans receiving service-related disability gov/aging or call 1-800-252-8966. benefits RTA PERSONS with Disabilites D.
APPLICATION: RIDE FREE PERMIT REDUCED FARE PERMIT 3 2” 2” (Photo) Sample Size (Any one of the following: Driver’s License, Passport, State issued ID, U.S. Immigration, Alien registration card, or any other official government ID with your picture, date of birth and signature) CENTER USE ONLY CENTER CODE: TAKEN BY: (INITIALS)
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