Fillable ------ Special Discount Senior Card Application

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------ Special Discount Senior Card Application

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The ------ Special Discount Senior Card Application form is 1 page long and contains:

  • 1 signature
  • 3 check-boxes
  • 13 other fields

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File type: PDF

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Senior Card Application
Special Discount
The Special Discount Program makes it easy for seniors to qualify for reduced fares on RTD services.
APPLICATION INSTRUCTIONS
Applicants must be 65 years of age or older to apply. All applications must be accompanied by verification of
senior age eligibility.
• All applicants are required to complete Sections 1, 2, and 3.
• Include a copy of one of the valid age verification documents.
• Submit completed application in person or by email (see Section 4).
SECTION 1: CARDHOLDER CONTACT INFORMATION (All felds in Step 1 are required.)
First Name _______________________ Middle Initial ______ Last Name ___________________________
Address
City State Zip Code
Day Phone _________________________ Email Address (if available) _____________________________
SECTION 2: CARDHOLDER AGE VERIFICATION
The Special Discount Senior Card is a permanent discount card. You will not be required to renew this card
in the future.
Check the one document you are submitting to verify eligibility.
Birth certificate or passport
Valid state-issued identification card or driver’s license
Alien registration/permanent resident card
Military identification/dependent card with date of birth
Medical benefit card with date of birth
Date of Birth (MM/DD/YYYY) _________________________________
SECTION 3: SIGNATURE
By signing, I attest that the information on this application is true and correct. (If applicant is unable to sign, the
signature of a conservator is required.)
Signature______________________________________________ Date ________________________
1660 Blake Street Denver Colorado 80202
Regional Transportation District rtd-denver.com
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Senior Card Application
Special Discount
SECTION 4: SUBMIT APPLICATION
In Person
Submit your completed application along with one of the verification documents to RTD’s administration oce at:
• 1660 Blake St., Denver, CO 80202, Monday – Thursday from 9 a.m. - 12 p.m. and 1:00 p.m. - 4 p.m.
Friday 9 a.m. – 12 p.m. and 1 p.m. - 3 p.m.
• Special Discount Cards will not be available on the following days: New Year’s Day, Martin Luther King
Day, President’s Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day (and day after), and
Christmas Day.
Pass-by-mail
Please ensure every step is followed before emailing this application. If items are missing then your pass will not
be mailed to you. Passes will be mailed to the address specified on the application within 15 business days from
the date the application is received. Please do not email requesting status of your pass if it has been less than 15
business days.
All items below should be included in one email and sent to: specialdiscount@rtd-denver.com
1. A current full-face photo with no hats or sunglasses on a neutral background.
2. Completed Special Discount Application with required signatures.
3. Copy of one approved “Age Verification” documents listed on the application.
4. Your name and Senior Special Discount Card in the Subject line of the email.
Should you prefer to complete a hard copy of the application, mail application and necessary documents in
one envelope to:
RTD Special Discount
1660 Blake St., BLK-12
Denver, CO 80202
Please do not send originals as items will not be returned.
For program questions or to replace a lost or stolen Special Discount Card
• Contact RTD Special Discount at 303-299-2667 or specialdiscount@rtd-denver.com
• A non-refundable, $5 replacement fee applies
• Damaged cards must be returned to RTD to be replaced at no charge.
To review RTD’s discount fare policy
• rtd-denver.com/DiscountFares.shtml
For route and schedule information
• Contact Customer Care at 303-299-6000
• Visit RTD’s trip planner at rtd-denver.com/app/plan
1660 Blake Street Denver Colorado 80202
Regional Transportation District rtd-denver.com
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Completed 7 December 2021

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