Part I – Applicant Information (Please print)
Name (last, first, middle initial)
__________________________________________________________
Address ___________________________________________________________________
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
transit use.
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.
Applicant Signature
____________________________________________________________________
Date of application
______________________
Reduced Fare
Identification Card Application
Updated July 2018
Veteran
Discharge from
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
NOTE
: Reduced fare ID cards are $2.00. Replacement cards cost $5.00 before expiration date.
IndyGo reserves the right to revoke an IndyGo Reduced Fare ID card for falsification of
application or rider misconduct based on rider codes or unlawful activities.
Part III – For office use only
Approved by
_________________________________________________________________________
Proof of eligibility:
All applications and supplemental documents are for IndyGo use only and will be filed in a
secure place.
IndyGo (Indianapolis Public Transportation Corporation)
IndyGo Customer Service Retail Center
201 East Washington Street
Indianapolis, IN 46204
317.635.3344
Reduced Fare Eligibility Statement:
P
ersons whose disability results in limited ability to use public transportation as defined by
Federal Transit Authority (FTA) federal regulation 49CFR.609.3 which provides that disabled
persons means those individuals who, by reason of illness, injury, age, congenital malfunction,
or other permanent or temporary incapacity or disability, including those who are non-
ambulatory wheelchair-bound and those with semi-ambulatory capabilities, are unable without
special facilities or special planning or design to utilize mass transportation facilities and
services as effectively as persons who are not so affected. The definition of elderly is all
persons 65 and older. A Medicare card is also recognized for reduced fare.
Updated July 2018
photo ID
V
A card
Medicare card
supplemental/disability
information
DD 214
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