Disabled Tap Identification Card Application Form (Page 4 of 4) in pdf

Disabled Tap Identification Card Application Form Page 4

submitting your application

A completed application ready for submission contains the following:

A non-refundable $2 application fee. If applying by mail, please send check or money order made payable to Metro.

A current 2" x 2" or 1" x 1 ¼" full-face photo (no hats or sunglasses) on photo paper attached to box in section i.

A completed application form: sections i, ii, iii for all applicants and section iv and v for qualifying medical disability applicants.

card, and documents proving eligibility in section iii for all applicants except

Photocopy of

driver’s license or

CA ID

qualifying medical disability applicants.

Submit your completed application packet in person to any of the Metro Customer Centers listed below or mail to:

Metro Reduced Fare O;ce

Mail Stop 99-

-4

One Gateway Plaza

Los Angeles,

90012-2952

Disabled

cards will be mailed to eligible applicants within 20 business days after veriﬁcation has been completed.

LACTOA

TAP

The

agencies reserve the right to make ﬁnal determination of eligibility of Disabled

cards. Applications are for

LACTOA

TAP

internal use only and will not be subject to public review. The card is not transferable.

metro customer center locations (accepting applications for lactoa disabled tap id cards)

Metro Customer Center

Baldwin Hills/Crenshaw

East Los Angeles

Union Station/Gateway Plaza

Wilshire/La Brea

3650 Martin Luther King Bl,

4501 B Whittier Bl

One Gateway Plaza

5301 Wilshire Bl

Ste 189

Los Angeles,

for more information

Visit metro.net/reducedfares

213.680.0054

Disabled Tap Identification Card Application Form Page 4