Edit, Download, and Sign the MARTA Reduced Fare Paratransit Breeze Card Form

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How do I fill this out?

To fill out the MARTA Reduced Fare Paratransit Breeze Card form, start by gathering all required personal information. Make sure to check eligibility criteria for reduced fares. Follow the prompts on the form carefully to enter accurate information.

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How to fill out the MARTA Reduced Fare Paratransit Breeze Card Form?

  1. 1

    Gather all required personal information and documents.

  2. 2

    Fill out each section of the form accurately.

  3. 3

    Review eligibility criteria before submitting.

  4. 4

    Double-check for any missing information.

  5. 5

    Submit the form as per the provided instructions.

Who needs the MARTA Reduced Fare Paratransit Breeze Card Form?

  1. 1

    Senior Citizens: They require this form to access discounted fare services.

  2. 2

    Medicare Cardholders: This group qualifies for reduced fare based on their Medicare status.

  3. 3

    Individuals with Disabilities: They can apply for Paratransit services using this form.

  4. 4

    Caregivers of Eligible Individuals: They may need this form to assist their clients or family members in using MARTA services.

  5. 5

    Replacement Card Applicants: Anyone needing a replacement card must complete this form.

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    Open the PDF document in PrintFriendly.

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    Download the edited PDF to your device.

What are the instructions for submitting this form?

To submit this form, carefully double-check that all information is filled out correctly. You can either submit the form directly through email at MARTA-info@itsmarta.com or you may fax it to (404) 848-5835. Alternatively, physical applications can be mailed to MARTA, Customer Service, 2424 Piedmont Rd NE, Atlanta, GA 30324. Be sure to keep a copy of your submitted form for your records.

What are the important dates for this form in 2024 and 2025?

The MARTA Reduced Fare Card remains valid as long as eligibility criteria are met. It's advisable to check for any updates or re-certifications required annually. Ensure your application is submitted promptly to avoid any disruption in service.

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What is the purpose of this form?

The purpose of the MARTA Reduced Fare Paratransit Breeze Card form is to provide eligible individuals with access to discounted transportation services. This form facilitates applications specifically for senior citizens, Medicare cardholders, and those with disabilities, ensuring they receive the necessary help to navigate MARTA's transit system comfortably. By offering reduced fares, MARTA promotes accessibility and encourages the use of public transportation among vulnerable populations.

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Tell me about this form and its components and fields line-by-line.

The form consists of several fields designed to collect necessary personal and contact information to process the application.
fields
  • 1. Last Name: The applicant's legal last name.
  • 2. First Name: The applicant's legal first name.
  • 3. Date of Birth: The applicant's birthdate to verify age.
  • 4. SSN: The last five digits of the Social Security Number.
  • 5. Address: The street address, including city and zip code.
  • 6. Phone Number: Contact number to reach the applicant.
  • 7. Email Address: For electronic communications regarding the application.
  • 8. Signature: Applicant's signature to validate the application.
  • 9. Date: The date when the form is filled.

What happens if I fail to submit this form?

Failing to submit this form may result in the inability to access reduced fares or specialized transportation services through MARTA. Applicants will not receive the Breeze Card which can hinder their travel options and increase public transportation costs. It is crucial to ensure all sections are completed accurately and timely.

  • Increased Travel Costs: Without the card, eligible individuals may have to pay full fare.
  • Service Limitations: Failure to submit can result in missing out on essential transportation services.
  • Legal Issues: Submitting false information can lead to criminal prosecution.

How do I know when to use this form?

Use this form when you are applying for a MARTA Reduced Fare Card or Paratransit service. It is applicable during initial applications or when re-certifying eligibility. Any changes in personal status require a new submission to ensure accuracy.
fields
  • 1. Initial Application: For first-time applicants seeking reduced fares.
  • 2. Re-Certification: To verify continued eligibility for reduced fare services.
  • 3. Change of Status: When there is a change in personal information or qualifications.

Frequently Asked Questions

Who can apply for the MARTA Reduced Fare Card?

Senior citizens, Medicare cardholders, and individuals with valid proof of disability can apply.

What do I need to fill out this form?

Prepare your personal details and valid identification for the application.

Can I edit the PDF after filling it out?

Yes, you can easily edit the PDF using PrintFriendly before submission.

How can I share my filled-out PDF?

You can share your PDF easily through links or Email after completing it.

What should I do if I lose my Breeze Card?

Report to MARTA immediately and apply for a replacement through this form.

Is there a fee for replacing a lost card?

Yes, there is a replacement fee for lost or stolen cards.

Can I submit this form online?

Yes, you can submit the completed form electronically depending on the provided instructions.

How will I know if my application is approved?

MARTA will notify you of the application status through the contact details provided.

What if I make a mistake on my form?

You can edit the form and correct any mistakes using PrintFriendly.

Is this form valid for Paratransit services?

Yes, this form is specifically for applying for Paratransit services under MARTA.

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