Part I – Applicant Information (Please print)
Name (last, first, middle initial)
City _________________________ State ____________ Zip _________________________
Birth date (month, date, year)____________________________________________________
Primary phone (______)___________ E-mail address _________________________________
Part II – Eligibility
Youth 18 and younger, senior citizens 65 and older and persons with disabilities as defined by
the FTA (Federal Transit Authority) are eligible to apply for and receive half fare pricing for
Persons with a valid Medicare card need not apply for an IndyGo Half Fare ID. Medicare
cardholders should display the Medicare card to the IndyGo bus operator when boarding to
receive half fare benefits (see other side). If you have a valid Medicare card and would like to
purchase an IndyGo Half Fare Identification Card, you need only to show your Medicare card
and pay $2.
Please check your category:
Youth - Proof of age is required. Expires on passengers 19th birthday.
Senior – Proof of age is required. No expiration date
Disabled – To qualify for a disabled classification, passenger will need to complete a
separate form along with information from a physician or case worker who can validate
disability. Valid for three years from card issue date.
Date of application
Identification Card Application
Veterans must show either 1) a valid government-issued ID and DD214 Certificate of
release/discharge from active duty OR 2) US Department of Veteran Affairs ID