Fillable APPLICATION FOR PRONTO EXTEND PROGRAM

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APPLICATION FOR PRONTO EXTEND PROGRAM

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APPLICATION FOR PRONTO
EXTEND PROGRAM
Thank you for your interest in the San Diego Metropolitan Transit System (MTS) and North County
Transit District (NCTD) PRONTO Extend program. The program provides free transit fares for
individuals ages 18 through 24 who have exited foster care, upon or after their 18
th
birthday, or who are
currently in an extended foster care program. For full program guidelines, visit sdmts.com/PRONTO-
Extend.
Application Process
1. Complete this application form.
2. Return the application and Section C document(s) to MTS PRONTO Extend Eligibility.
Applications can be returned:
a. Online: https://www.sdmts.com/pronto-extend
b. Via Mail or In-Person: 100 16
th
Street, San Diego, CA 92101 Attn: PRONTO Extend Eligibility
c. Via Fax: 844-299-6369
3. MTS will review your application and supporting document(s). You will receive a letter with your
eligibility determination within 15 business days.
Section A. APPLICANT INFORMATION (Please print legibly)
Name Date of Birth / /
Last First Middle Initial
Mailing Address Apt. No.
City State ZIP Phone No. ( )
Em
ail Address: ___________________________________________________________________________________
Section B. FARE MEDIA
Phone App. I will be using the PRONTO mobile application to access my monthly pass. (Please note, to use the
PRONTO app, you must have a valid email address and it must match the email address provided in Section A. The
PRONTO app is available for Apple and Android devices.)
I need a new card. If you do not have a PRONTO Card, check this box.
I have an existing PRONTO
card/app account. If you have an existing PRONTO card, please provide the 20-
digit number on the back of the card. If you have a virtual card, confirm the virtual card number.
Card Number: _____________________________________________________________
Section C. CERTIFICATION OF ELIGIBILITY
Please mark your supporting eligibility document(s) below. Applicants are required to present a valid government-
issued ID card (photo ID preferred) or passport in addition to the documents listed below. The name on the ID card
should match the name on the supporting eligibility form.
Proof of
Dependency/Wardship Letter
Please note: As part of the application process, your County ID number and/or
Case number will be added in the PRONTO administrative system. This
information will not be posted publicly, and will not be provided to or shared with
any outside party. You may need to verify this information with a member of the
PRONTO Support Center
or MTS Transit Store
should you need a replacement
pass (i.e. pass is lost or stolen), or if you will be purchasing a pass over-the-phone.
Notice of Action –
Approval, Change, or
Please note: As part of the application process, your County ID number
and/or Case number will be added in the PRONTO administrative system.
This information will not be posted publicly, and will not be provided to or
Discontinued Form
shared with any outside party. You may need to verify this information with
a member of the PRONTO Support Center
or MTS Transit Store should you
need a replacement pass (i.e. pass is lost or stolen), or if you will be
purchasing a pass over-the-phone.
Please select the
following government
issued ID you will be
providing:
£ Government
Issued Photo ID
(e.g. Driver’s
license, State
Issued ID,
Passport, etc.)
£ Birth Certificate
£ Other (e.g. Social
Security Card,
School ID)
If you do not have a current government ID with a photo, you may be
required to go in
-person to the MTS Transit Store or NCTD Customer
Service Center to provide proof of eligibility.
Section D. APPLICANT SIGNATURE
I certify to the best of my knowledge that the information on this application is true and correct.
I understand that providing false or misleading information could result in my eligibility status being terminated.
I understand that I must provide this completed and signed application, and the required state or government-
issued ID that shows that I qualify to be considered for the PRONTO Extend program fare.
I understand that the PRONTO Extend fare is NOT transferrable to others.
I understand that the PRONTO Extend pilot program is valid through December 2023, but my eligibility for the fare
may expire sooner based on my individual program eligibility.
I understand that I must download or load the appropriate MTS or NCTD pass each month. Failure to do so may result
in a fine for traveling without a valid fare.
I understand that I must tap or scan my PRONTO card or app on the bus validator, or Trolley, SPRINTER or
COASTER validator each trip to verify I have a valid fare.
Signature Date
Revised 05/2022
/ /
Eligibility Expiration Date
/ /
Card Issue Date
PRONTO Card No.:
(Please print clearly)
Staff Initials
Expiration Date
Government or State-Issued ID Card
Section F. FOR OFFICE USE ONLY
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APPLICATION FOR PRONTO EXTEND PROGRAM

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Completed 23 June 2022

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