Part II 150 Eligibility ersons with a valid Medicare card need not afor an IndyGo Ha Youth Proof of age is required Expires on passengers 19th birthday Disabled To qualify for a disabled c ID: 840517
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1 Part I – Applicant Information (Ple
Part I – Applicant Information (Please print) Name (last, first, middle initial) _______ Part II – Eligibility ersons with a valid Medicare card need not afor an IndyGo Ha Youth - Proof of age is required. Expires on passengers 19th birthday. Disabled – To qualify for a disabled classifica ____________________________________________________________ ______________________ Fare Identification Card Application Discharge from Reduced fare ID cards are $2.00. Replacement cardsIndyGo reserves the ri
2 ght to revoke an IndyGo ________________
ght to revoke an IndyGo _________________________________________________ All applications and supplemental documents are for IndyGo use only and will be filed in a secure place. Indianapolis Public Transportation Corporation ersons whose disability results in limited abilitfederal regulation 49CFR.609.3 wh illn, injury, age, congenital malfunction, ary incapacity or disability, including those who are non-bulatory wheelchair-bound and tpecial facilities or special planningor designecognized for reduced fare.