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Seattle CiviForm
Note: Fields marked with a * are required.
Select ONE (1) proof of eligibility below. Upload a digital copy of your document.
NOTE: If applying from your cell phone, you can upload a digital image of the required document.
Current Metro, Regional or other out of region ADA Paratransit Card.
Permanent reduced fare permit for disabled persons (only ages 18-59), back & front.
Regional Reduced Fare Permit (RRFP) Certification of Eligibility, signed by approved health care provider.
Award letter or letter of verification of Social Security Disability Income (SSDI), Supplemental Security Income (SSI), Veterans Administration Income or General Assistance Unemployable (GAU/GAX).
Proof of eligibility for Social Security Disability Benefits or Supplemental Security Income Benefits.
Proof of current eligibility by the Veterans Administration as having a disability of at least 30%.
Valid Medicare card issued by the Social Security Administration.
Proof of enrollment in a vocational career program with the WA Individual Education Program (IEP).
None of the above and one or more physical impairments