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The MetroCard Application form is an essential document for senior citizens aged 65 and older who wish to benefit from reduced-fare transportation provided by the Metropolitan Transportation Authority (MTA). This application process is designed to be straightforward, ensuring that eligible individuals can access affordable travel options with ease. Applicants must provide personal information, including their name, address, and date of birth, alongside proof of age documentation, such as a birth certificate or driver's license. A recent photograph that meets specific size requirements is also necessary. For those who may need assistance, help is readily available through a dedicated phone line, and in-person support can be found at the NYC Transit Reduced Fare Service Center in Manhattan. Importantly, applicants do not need to notarize the form if they apply in person. However, it is crucial to answer all questions fully; incomplete submissions will be returned. Once submitted, applicants can expect a processing time of two to four weeks. This program not only enhances mobility for seniors but also underscores the MTA's commitment to making public transportation accessible to all. Understanding the details of this application can significantly impact the travel experience for senior citizens in New York City.
Metrocard Application Example
Application for MTA
ALL INFORMATION WILL BE KEPT STRICTLY CONFIDENTIAL
General Information — If you receive Medicare Benefits based on a Disability, use the application for People with Disabilities.
2"
1 1/2"
Recent photo must fit in the space provided
For telephone assistance in completing this application and for answers to questions about it, call 718
All information provided by you will be used solely for the purpose of determining your eligibility for the
Every question on this application must be answered. Incomplete applications or applications submitted without photographs and a copy of proof of age documentation will be returned to you.
Allow two to four weeks for processing.
If you are mailing this application, you must submit a recent photograph. Please write your name on the back of the photograph. The photograph must be at least two inches high and
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n New Applicant |
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n EasyPay |
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Type or print in ink and sign where indicated. |
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Work/Other Telephone
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Date of Birth |
Your Social Security Number (optional) |
1
mta.info
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Code |
Male Female Unspecified |
mta
Please attach proof of age documentation;
A photocopy of one of the following is required (check box):
n Birth Certificate |
n |
n Valid State ID |
n |
Driver’s License
PassportOR
nMedicare Card
If you are a Senior Citizen
65 years or older.
Applications submitted without copy of proof of age documentation will be returned to you.
Notary Public
Must be completed for all applicants, except when applying in person with photo ID.
Affirmation
State of __________________________________________________ }
ss :
County of _________________________________________________ }
On this ______________ day of _______________, 20 ________ before me appeared
_____________________________________________________________________________
to me known and known to me to be (Check the one that applies.)
nthe person who is described in and who executed the foregoing instrument
nthe personal representative of the applicant named above and who executed the foregoing instrument on behalf of the applicant.
and (s)he duly acknowledged to me that (s)he executed the same and that the statements therein are true.
Signature and stamp of officer _________________________________________
NOTARY PUBLIC
I am a senior citizen 65 years or older. I affirm under penalty of perjury that all statements made on this application, which the Metropolitan Transportation Authority relies on to determine my eligibility status, are true and complete. I have read and understand all the information contained in this application. I understand that all statements made in this application may be subject to investigation and verification and that a material misstatement or fraud will disqualify me for
I understand that the MTA may discontinue or change its
I understand that it is a crime to allow anyone else but me to use the
By signing this application I (1) acknowledge that I have read the enclosed Conditions of Use for MTA
Applicant’s
Signature X ____________________________________________________________ Date ________________
or Personal Representative ________________________________________________ Date ________________
(print name)
2
158_18, Revised May 2018
The EasyPay
(All payment information will be kept strictly confidential.)
Start paying for your rides with $10. Your account will be automatically replenished whenever the balance goes below $10. Your account immediately converts to unlimited rides when the required number of subway or local bus rides is taken within a
Questions? Call
nnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn
First Name
nnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn
Last Name |
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Date Of Birth |
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Telephone n Home nwork nother |
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Payment Options (choose one) |
o Credit |
o Debit Card |
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n American Express |
n Discover |
n MasterCard |
n Visa |
n n n n n n n n n n n n n n n n |
nn / nn |
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Credit/Debit Card Number |
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Expiration Date |
I authorize MTA New York City Transit to charge this credit/debit card for my EasyPay MetroCard refills.
Signature |
Date |
Card holder signature (if different)
Applications without Credit/Debit Card authorization signature will be returned to you.
I am a visually impaired customer and wish the following statement:
(check one) |
o Large Type |
o Braille |
For further information or additional copies of the application, call
Before Mailing the Application include: |
Mail completed application to: |
1 – A recent photograph |
Metropolitan Transportation Authority |
2 – A copy of proof of age or Medicare Card |
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3 – A Notary Public |
130 Livingston Street |
4 – Affirmation Signature (page 2) |
Brooklyn, New York |
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For Office Use Only
Disk # ________________________________________________________________ Image # _____________________________________
Examiner’s Signature _______________________________________________________________________________________________
3
mta
MTA
Conditions of Use and Other Important Information
for a Metropolitan Transportation Authority
Valid Use: RFM can be used to pay fares on all MTA New York City Transit subways, NYC Transit local buses, express buses only during non rush hours, MTA Staten Island Railway, Nassau
The RFM is valid identification for eligibility in the reduced- fare programs of the MTA Long Island Rail Road and MTA
Expiration Dates:
The full value on an expired RFM may be transferred to a new RFM at a subway station booth. Any remaining value that is not transferred to a new RFM within two years after the expiration date on the original RFM will be surrendered by, and unavailable to, the card holder.
Trouble Using RFMs: An RFM that does not work or is damaged should be returned to MetroCard Customer Claims. Ask a station booth agent or bus operator for a prepaid envelope in which to return your card to us. In the envelope you’ll find a form to fill out so you can describe your RFM problem.
If you prefer, you may bring your damaged RFM to the MetroCard Customer Service Center at 3 Stone Street in downtown Manhattan, 9 AM to 5 PM, Monday to Friday.
If you cannot get a prepaid mailer, send the damaged card to our mailing address at:
MetroCard Customer Claims
130 Livingston Street
Brooklyn, New York
Be sure to include your name, address and phone number, your damaged RFM, an explanation of the problem and the address to which the new RFM should be sent.
The holder assumes the risk of loss until the card is received by either MetroCard Customer Claims or the MetroCard Service Center.
Change of Address: Notices and replacement cards will be sent to you at the address you provide. You must inform us promptly, in writing, of any change of address.
Lost or Stolen RFMs: Immediately report a lost or stolen RFM by calling the MetroCard Customer Service Center,
Restrictions: An RFM may be used only by the person to whom it has been validly issued. Use of the RFM by any other person may result in forfeiture of the card and its remaining balances, plus civil and/or criminal penalties.
You must present your
There are no refunds of money remaining on RFMs. Money remaining on an expired card may only be transferred to a new card within two years of the expiration date. Money from a
The City of New York, the State of New York, the County of Westchester and the Metropolitan Transportation Authority and its subsidiaries and affiliates, including New York City Transit, are not liable for any special or consequential damages associated with or resulting from the failure, malfunction, or disabling of the RFM or the MetroCard system.
The MTA
For more information, call
4
158_18_Sen Appl., Revised May 2018
mta
File Breakdown
| Fact Name | Details |
|---|---|
| Eligibility Age | Applicants must be 65 years or older to qualify for the Reduced-Fare MetroCard. |
| Application Confidentiality | All information provided in the application will be kept strictly confidential. |
| Photo Requirements | A recent photograph must fit the dimensions of 2 inches by 1.5 inches and must show a full front view of the face. |
| Proof of Age | Applicants must attach proof of age documentation, such as a birth certificate or valid state ID. |
| Application Assistance | Applicants may receive assistance in completing the application by calling 718-330-1234 or visiting the NYC Transit Reduced Fare Service Center. |
| Processing Time | Allow two to four weeks for processing of the application. |
| Notarization Requirement | The application does not need to be notarized if submitted in person with an official ID. |
| Application Completeness | Incomplete applications will be returned. Every question must be answered, and required documents must be included. |
| Conditions of Use | Applicants must read and accept the Conditions of Use for the Reduced-Fare MetroCard. |
| Governing Laws | The application and its processes are governed by the rules and regulations of the Metropolitan Transportation Authority (MTA) and New York City Transit. |
Guide to Using Metrocard Application
Filling out the Metrocard Application form is a straightforward process. It is important to ensure that all required information is provided accurately to avoid any delays in processing your application. After completing the form, you will need to submit it along with a recent photograph and proof of age documentation. If you have any questions or need assistance while filling out the form, support is available via telephone or in person.
- Begin by selecting the type of application you are submitting. Indicate whether you are a new applicant or an EasyPay customer.
- Fill in your personal details, including your Last Name, First Name, and M.I..
- Provide your Street Address, Apt. No., City/Borough, State, and Zip Code.
- Enter your home and work/other telephone numbers.
- Input your Date of Birth and your Social Security Number (optional).
- Check the box to indicate your gender: Male, Female, or Unspecified.
- Attach proof of age documentation by checking the appropriate box for your proof, such as a Birth Certificate, Valid State ID, Driver’s License, Passport, or Medicare Card.
- Sign and date the affirmation section, confirming that all information provided is true and complete.
- If you are not applying in person, have the application notarized.
- Include a recent photograph that meets the specified dimensions of 2 inches high by 1.5 inches wide. Write your name on the back of the photograph.
- Ensure that the application is complete and all required signatures are provided.
- Mail the completed application, along with the photograph and proof of age documentation, to the specified address: Metropolitan Transportation Authority, Reduced-Fare Program, 130 Livingston Street, Brooklyn, New York 11201-9625.
Get Answers on Metrocard Application
What is the purpose of the MetroCard Application form?
The MetroCard Application form is designed for senior citizens aged 65 years or older to apply for the MTA Reduced-Fare MetroCard. This card allows eligible individuals to access discounted fares on various MTA transportation services. The application process ensures that only those who meet the age requirement can benefit from the reduced fare program.
What information is required to complete the application?
To complete the application, you must provide the following information:
- Personal details, including your last name, first name, middle initial, street address, apartment number, city or borough, state, and zip code.
- Contact information, including home and work telephone numbers.
- Date of birth and Social Security number (optional).
- A recent photograph that meets the specified size requirements (2" x 1.5").
- Proof of age documentation, such as a birth certificate, valid state ID, driver’s license, passport, or Medicare card.
All questions on the application must be answered fully. Incomplete applications will be returned.
How can I submit my application?
You can submit your application in person or by mail. If applying in person, visit the NYC Transit Reduced Fare Service Center located at 3 Stone Street, Manhattan, during business hours (Monday to Friday, 9 a.m. to 5 p.m.). If you prefer to mail your application, ensure it includes your recent photograph and proof of age documentation. Send it to the address specified on the form.
What happens if I submit an incomplete application?
Submitting an incomplete application will result in its return to you. To avoid delays, ensure that all sections of the application are filled out, and include the required photograph and proof of age documentation. It is essential to check that every question is answered before submission.
How long does it take to process the application?
Processing your application typically takes between two to four weeks. If you have submitted your application by mail, you may want to allow for additional time. After processing, you will receive your Reduced-Fare MetroCard in the mail if you are deemed eligible.
What should I do if my Reduced-Fare MetroCard is lost or stolen?
If your Reduced-Fare MetroCard is lost or stolen, it is crucial to report it immediately. You can do this by calling the MetroCard Customer Service Center at 718-330-1234. A replacement card will be issued, and any remaining balance or unlimited rides on the lost or stolen card will be transferred to the new card after verification.
Common mistakes
When filling out the Metrocard Application form for the Reduced-Fare MetroCard, applicants often make several common mistakes. One frequent error involves not providing a recent photograph that meets the specified requirements. The application clearly states that the photo must be at least two inches high and one-and-a-half inches wide, with a solid background. Failing to adhere to these guidelines can lead to delays or rejection of the application.
Another common mistake is leaving questions unanswered on the application. The form emphasizes that every question must be completed. Incomplete applications will be returned, which can extend the time it takes to receive the MetroCard. It is essential to double-check that all fields are filled out before submission.
Many applicants overlook the requirement to include proof of age documentation. Acceptable forms of proof include a birth certificate, valid state ID, or Medicare card. Applications submitted without this documentation will also be returned, causing frustration and additional waiting time.
Some individuals mistakenly believe that notarization is necessary when applying in person. However, the application specifies that notarization is only required for applicants who are not submitting the application in person with a photo ID. This misunderstanding can lead to unnecessary steps and complications in the application process.
Additionally, applicants sometimes forget to sign the application. The signature is a crucial part of the process, as it affirms that the information provided is true and complete. Without a signature, the application will not be processed.
Lastly, when mailing the application, individuals may neglect to include all required items. Along with the completed application, a recent photograph and proof of age documentation must be included. Failing to send these items together can result in the application being returned, further delaying access to the Reduced-Fare MetroCard.
Documents used along the form
The Metrocard Application form is just one of several important documents that may be required for individuals seeking reduced-fare transportation. Below is a list of related forms and documents that are commonly used alongside the Metrocard Application. Each document plays a crucial role in ensuring a smooth application process.
- Proof of Age Documentation: This document verifies that the applicant is a senior citizen aged 65 or older. Acceptable forms include a birth certificate, valid state ID, driver's license, passport, or Medicare card.
- Recent Photograph: A current photograph that meets specific size requirements (2" x 1.5") is necessary. This photo must show a full front view of the applicant's face with a solid background.
- Notary Public Affirmation: If applying by mail, this document must be completed by a notary public. It verifies the identity of the applicant and confirms that the information provided is accurate.
- EasyPay Enrollment Form: For those who wish to set up automatic refills for their MetroCard, this form collects payment information and authorizes the MTA to charge the designated credit or debit card.
- Conditions of Use Document: This outlines the rules and regulations regarding the use of the Reduced-Fare MetroCard. Applicants must read and agree to these conditions when applying.
- Application for People with Disabilities: This form is specifically for individuals who receive Medicare benefits due to a disability. It serves a similar purpose as the senior citizen application but is tailored for those with disabilities.
- Change of Address Form: If an applicant moves, they must submit this form to update their address with the MTA. This ensures that all communications and replacement cards are sent to the correct location.
- Lost or Stolen MetroCard Report: In case a MetroCard is lost or stolen, this report must be filed to freeze the old card and transfer any remaining balance to a new card.
- Customer Service Contact Information: This document provides important phone numbers and resources for applicants needing assistance or information about their application status.
Having all the necessary documents ready can significantly streamline the application process for a Reduced-Fare MetroCard. By ensuring that each item is completed and submitted correctly, applicants can avoid delays and enjoy the benefits of reduced transportation costs.
Similar forms
- Social Security Application Form: Similar to the Metrocard Application, this form requires personal information, including proof of age and identity, to determine eligibility for benefits.
- Medicare Application Form: Both forms ask for detailed personal information and require proof of age or disability status to qualify for health benefits.
- State ID Application: Like the Metrocard Application, this form needs a recent photograph and proof of identity, ensuring that applicants are who they claim to be.
- Voter Registration Form: This document collects personal information and may require proof of residency and age, similar to how the Metrocard Application verifies eligibility.
- Driver's License Application: Both applications require personal details, a photograph, and proof of age, ensuring that only eligible individuals receive the respective identification.
- Housing Assistance Application: This form also gathers personal information and documentation to assess eligibility for housing benefits, mirroring the process in the Metrocard Application.
- Food Stamp Application: Like the Metrocard Application, it requires personal information and proof of income or residency to determine eligibility for assistance programs.
Dos and Don'ts
When filling out the Metrocard Application form for a Reduced-Fare MetroCard, it is essential to follow specific guidelines to ensure a smooth application process. Here are five important dos and don'ts:
- Do read the entire application carefully before starting. Understanding the requirements will help you avoid mistakes.
- Do provide a recent photograph that meets the specified size of 2" x 1 1/2". Make sure the background is solid and your face is clearly visible.
- Do answer every question on the application. Incomplete forms will be returned, delaying your application.
- Don't forget to include proof of age documentation. A photocopy of your birth certificate, state ID, or Medicare card is required.
- Don't submit your application without signing it. Your signature is essential for processing your request.
Following these guidelines will help ensure that your application is processed efficiently and without unnecessary delays.
Misconceptions
Misconceptions about the Metrocard Application form can lead to confusion and frustration. Here are nine common misunderstandings, along with clarifications to help you navigate the application process more smoothly.
- Notarization is always required. Many believe that notarization is mandatory for all applications. However, notarization is only necessary if you are not applying in person with a photo ID.
- Proof of age documentation is optional. Some applicants think they can submit the application without proof of age. In reality, applications submitted without the required documentation will be returned.
- Photographs can be any size. There is a misconception that any recent photograph will suffice. The application specifically requires a photo that is 2 inches high and 1.5 inches wide, with a solid background.
- All questions on the application can be left blank. Some applicants may think it’s acceptable to skip questions. Incomplete applications will be returned, so it is crucial to answer every question.
- Applications can be submitted without a recent photograph. It is a common misunderstanding that photographs are not necessary. A recent photograph must be included, or the application will be returned.
- The application can be filled out by anyone. While assistance is allowed, some believe that anyone can complete the application without the applicant's involvement. The applicant must be present to affirm the information provided.
- There is no time limit for processing. Applicants often think that their applications will be processed immediately. In fact, processing can take two to four weeks.
- Expired MetroCards can still be used. Some individuals believe that they can continue using an expired Reduced-Fare MetroCard. However, expired cards must be replaced, and any remaining value must be transferred within two years.
- All MTA services are covered by the Reduced-Fare MetroCard. There is a misconception that the Reduced-Fare MetroCard is valid for all MTA services at all times. It is important to note that some services have restrictions, especially during rush hours.
Understanding these misconceptions can help ensure that your application process is smooth and successful. Always refer to the official guidelines for the most accurate information.
Key takeaways
When applying for the MTA Reduced-Fare MetroCard, it is essential to understand the process and requirements. Here are some key takeaways to help you navigate the application form effectively:
- Eligibility Criteria: To qualify for the Reduced-Fare MetroCard, you must be a senior citizen aged 65 years or older. If you receive Medicare benefits due to a disability, a different application is available.
- Application Assistance: If you need help completing the application, you can call 718-330-1234 for guidance. Additionally, someone you trust can assist you, or you can visit the NYC Transit Reduced Fare Service Center in person.
- Required Documentation: You must provide proof of age, such as a birth certificate, state ID, driver's license, passport, or Medicare card. Applications lacking this documentation will be returned.
- Photograph Specifications: A recent photograph must accompany your application. The photo should be 2 inches high by 1.5 inches wide, with a solid background, and a full front view of your face. Don’t forget to write your name on the back of the photo.
- Processing Time: After submitting your application, allow two to four weeks for processing. If you are mailing your application, ensure it is complete to avoid delays.
- Notarization: If you apply in person with a valid photo ID, notarization is not required. However, if you are submitting the application by mail, you must have it notarized.
- Conditions of Use: By signing the application, you agree to the conditions of use for the Reduced-Fare MetroCard. Misuse of the card can result in cancellation and disqualification from the program.
Understanding these key points can help streamline your application process and ensure you meet all necessary requirements. Proper preparation will facilitate your access to reduced-fare transportation options in New York City.