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For many individuals in the Portland area, the TriMet Honored Citizen form is a gateway to accessing affordable transit options. This application process is designed specifically for seniors, people with disabilities, and other eligible individuals, allowing them to take advantage of reduced fare rates on public transportation. To qualify for an Honored Citizen card, applicants must provide a valid form of identification that verifies their eligibility, which may include a Medicare card or government-issued photo ID. The process requires applicants to submit the form in person at the TriMet Ticket Office, where a photo will be taken. Depending on individual circumstances, the application may also involve supporting documentation from healthcare providers or certified agencies. There's a small fee for processing, especially for those seeking to replace or renew their ID cards. By understanding the requirements of the TriMet Honored Citizen form, individuals can navigate the application process smoothly and gain access to affordable travel throughout the TriMet service area.

Trimet Honored Citizen Example

Honored Citizen Application

TriMet Ticket Ofice: 701 SW 6th Avenue, Portland, OR 97204

503-962-2455 • accessible@trimet.org

Hours: Monday–Friday 8:30 a.m.-5:30 p.m.

To use an Honored Citizen fare, a person must present one of the following when asked by TriMet personnel: Photo ID showing proof of age 65 or older, a red, white and blue Medicare card with photo ID, or a TriMet Honored Citizen Photo Identiication Card—issued after completing this form. Application must be submitted in person along with government issued photo ID. Requires photo taken by TriMet.

Applicant information (PLEASE PRINT LEGIBLY)

Name:

_____________________________________ , _______________________________________________

 

Last name

First name

 

 

Mailing address:

_____________________________________

__________________________

_______

__________

 

Street

City

State

Zip

Date of birth:

_____________________________________

 

 

 

Telephone number: ( _____ ) ______________________________

Email address: __________________________________

I am applying for a TriMet Honored Citizen ID Card.

This is my irst ID card. Application must be submitted in person, requires photo taken by TriMet.

I need a replacement ID card; my card was lost, stolen, or damaged. $3 fee required.

I need to renew my expired card. $3 fee is required if renewing a card that was issued for up to 12 months. Application must be submitted in person, requires photo taken by TriMet.

I am applying for a TriMet Honored Citizen Downtown Pass

$10 fee required. For details, the program description is available at trimet.org/hc OR THE TRIMET TICKET OFfiCE.

Note: Fee payable by cash, check, money order or credit/debit card.

Certification of eligibility section (Check only one box below)

Health care provider

To qualify under this type of eligibility you must have the health care provider certification section

certification

on the reverse side completed. Please return this application within 30 days of the date completed

by the health care provider.

 

 

 

Social Security

Attach beneit veriication to this application.

 

 

Certified agency

Requires TriMet issued veriication stamp on reverse side.

 

 

Senior (65+)

65 years of age or older. Must present government issued photo ID.

 

 

Disabled veteran

Attach VA documentation to this application.

 

 

Visitor ID

30 days maximum. Visitor must show Transit Agency issued ID card to qualify.

 

City and state of agency ___________________________________________________________

 

 

Medicare card

To qualify present Medicare card and government issued photo ID.

 

 

I agree to release the information I am sending to TriMet for the purpose of making this application for an Honored Citizen ID Card. I certify that the information I provide concerning my application is true and correct. I understand that TriMet reserves the right to require proof of disability in addition to this form. If applying for the Honored Citizen Downtown Pass/ID Card, I agree to abide by the terms of the program description, and photo ID card. I give my consent for TriMet, or a TriMet Designated Administrative Agency**, to take and retain a copy of my photo. TriMet will not accept a photocopy, fax or email of this form.

Signature of applicant _________________________________________________ Date ______________________________

140613 • 9/14

Health care provider certification section: This form is used for Individuals with permanent or temporary disabilities. This also includes individuals who may need an attendant to ride TriMet service.

Patient/applicant release:

I authorize: _________________________________________________

to verify my disability if requested to do so by TriMet.

(Name of certified and/or licensed health care provider*)

 

Patient/applicant signature: ___________________________________

Date: _____________________________________

To be completed by

licensed health care provider*(see below)

Applicant’s name: _________________________________________

Applicant’s date of birth: ____________________________________

Health care provider’s name: _________________________________

Title: ____________________________________________________

State certiication or license #: _______________________________

Telephone number: ________________________________________

Email address: ____________________________________________

Address: _________________________________________________

_________________________________________________

TriMet issued Agency stamp

HERE

_____________________________________________

Agency representative’s signature

_____________________________________________

Address

_____________________________________________

Date

I, _________________________________________________ hereby certify that I have examined the patient listed above and

(Name of certified and/or licensed health care provider*)

it is my opinion that he/she is disabled due to illness, congenital malfunction or other incapacity that substantially limits one or more major life functions.

Disability is:

Permanent

Temporary (deined as impairment lasting not more than 12 months). Duration is _______ months.

SPECIFIC description of disability (Please print LEGIBLY and provide suficient detail) or attach description on oficial letterhead form:

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

yes no Does the described disability necessitate that the applicant have an attendant to ride TriMet service?

I certify that the above is correct and that I am legally certiied and/or licensed in my state as a Healthcare Provider.

Signature _______________________________________________________ Date __________________________________

Customer Service staff may contact you for veriication.

Completed application and health care provider certiication may be mailed to the TriMet Ticket Ofice, 701 SW 6th Avenue, Portland, OR 97204

503-962-2455 • accessible@trimet.org • trimet.org/hc

*Physician, Physician Assistant, Licensed Clinical Social Worker, CADC (Certified Alcohol and Drug Counselor) , QMHP, Registered Nurse Practitioner, or Counselor certified by the Addiction Counselor Certification Board of Oregon (ACCBO) .

**For the purpose of simplifying administration of the Honored Citizen Program, social service agencies or other organizations that are interested in processing TriMet Honored Citizen Card Applications for their clients may be selected, at TriMet's discretion, to operate as a "Designated

Administrative Agency."

Get Trimet Honored Citizen PDF Form

Form Characteristics

Fact Name Details
Purpose of the Form This form is used to apply for a TriMet Honored Citizen ID card and Downtown Pass.
Eligibility Age Applicants must be 65 years old or older to qualify under the senior category.
Proof Requirement A government-issued photo ID is required when applying and for fare reductions.
Submission Method Applications must be submitted in person to the TriMet Ticket Office.
Fee for Downtown Pass The fee for a TriMet Honored Citizen Downtown Pass is $10.
Photo Requirement TriMet personnel will take the applicant's photo during the submission process.
Types of Medical Certification Doctors and licensed healthcare providers must certify disabilities for applicants with health issues.
Replacement Card Fee A fee of $3 is required for replacing a lost, stolen, or damaged ID card.
Application Processing Applications may take time to process; ensure timely submission of all required documents.
Contact Information TriMet's Ticket Office can be reached at 503-962-2455 or via email at accessible@trimet.org.

Guidelines on Utilizing Trimet Honored Citizen

Completing the TriMet Honored Citizen application is a straightforward process. Individuals looking to apply should ensure they have the necessary identification and information ready before heading to the TriMet Ticket Office. Below are the steps to successfully fill out the application form.

  1. Gather Required Documents: Ensure you have a government-issued photo ID to confirm your identity and eligibility.
  2. Visit the Ticket Office: Head to the TriMet Ticket Office located at 701 SW 6th Avenue, Portland, OR 97204, during business hours (Monday–Friday, 8:30 a.m.-5:30 p.m.).
  3. Fill Out the Application Form: Print legibly as you complete your name, mailing address, date of birth, telephone number, and email address on the application form.
  4. Specify Your Request: Indicate whether this is your first ID card, a replacement for a lost or damaged card, or a renewal of an expired card. Don’t forget to include any applicable fees.
  5. Choose Certification Type: Tick the appropriate eligibility box based on your situation (e.g., senior citizen, disabled veteran, etc.). Make sure to gather any required verification documents.
  6. Sign the Application: Ensure you sign and date the application to confirm that all information is truthful and accurate.
  7. Health Care Provider Section (if applicable): If you are applying under health-related qualifications, have your health care provider complete their section of the form, including their signature and stamp.
  8. Submit Your Application: Present your completed application form in person at the TriMet Ticket Office. A photo will be taken for your Honored Citizen ID card at this visit.

Following these steps will help ensure your application process goes smoothly. Once submitted, it’s important to keep a record of your application and any documents provided. You may be contacted by TriMet staff for verification as needed.

What You Should Know About This Form

What is the TriMet Honored Citizen form used for?

The TriMet Honored Citizen form allows eligible individuals to apply for a discounted fare ID card or pass for public transportation services. This program is designed for seniors, individuals with disabilities, and certain other qualifying groups, allowing them to access reduced fares on TriMet services.

Who is eligible to apply for the Honored Citizen ID Card?

Eligibility for the Honored Citizen ID Card includes individuals who are 65 years of age or older, individuals with disabilities (either permanent or temporary), disabled veterans, and visitors with an ID from a transit agency. Each category has specific requirements, such as providing a government-issued photo ID, a Medicare card, or documentation from a healthcare provider.

How do I submit the application?

To submit the application, individuals must do so in person at the TriMet Ticket Office located at 701 SW 6th Avenue, Portland, OR. It's important to bring a government-issued photo ID and to have a photo taken by TriMet personnel as part of the application process. Applications for a replacement or renewal of a card also need to be submitted in person, and there may be a small fee involved.

What if I need to prove my disability to qualify?

If you are applying based on a disability, you may need to provide additional information. This can include a certification from a healthcare provider that confirms your disability, as well as any documentation required by TriMet. The certification section of the application must be completed by a licensed professional who can attest to your condition.

Are there any fees associated with the application?

Yes, there are fees associated with various applications. For a new Honored Citizen ID card or a Downtown Pass, there is typically a fee of $10. If you are renewing or requiring a replacement for a lost or damaged card, a $3 fee is required. These fees can be paid via cash, check, money order, or credit/debit card.

What if I lose my Honored Citizen ID card?

If your Honored Citizen ID card is lost, stolen, or damaged, you can request a replacement card by submitting a new application along with the required fee of $3. As with the original application, this must be done in person, and you will need to show a government-issued photo ID to validate your identity.

Common mistakes

When filling out the TriMet Honored Citizen form, many individuals encounter common pitfalls that can delay the application process. One prevalent mistake is neglecting to include a government-issued photo ID. The application explicitly states that such an ID must accompany the form to verify eligibility. Without this vital document, the application may be deemed incomplete.

Another frequent error is failing to print legibly. Applicants sometimes write their information too hastily or illegibly, which can lead to misunderstandings or miscommunications. It is crucial to take the time to write clearly, as important details like the name, address, and date of birth need to be easily readable.

Also, applicants often overlook the certification of eligibility section. By checking more than one box on this section, it may create confusion regarding the applicant's specific eligibility type. It is essential to carefully review the options and select only one corresponding to the applicant's situation.

Additionally, submitting the application without a necessary fee is a common error. For instance, if someone is renewing an expired card, they might forget to include the $3 fee. These fees can be paid in various forms, including cash, check, or credit card, and should be included in the envelope to avoid delays.

Many people also make the mistake of assuming that submitting the application electronically is permissible. TriMet specifically states that they will not accept photocopies, faxes, or emails of the form. It is vital to present the application in person to ensure it is processed correctly.

In some cases, individuals may fail to provide adequate documentation for specific eligibility criteria. For example, if applying as a disabled veteran, attaching the necessary VA documentation is a must. Forgetting this can lead to application denial or further delays.

Another common pitfall is not signing the application. The signature section is crucial, as it certifies that the information provided is true and correct. An unsigned application may be rejected outright, leading to frustration and the need to resubmit.

Lastly, individuals sometimes misinterpret the instructions related to the health care provider certification section. It is vital that applicants ensure this section is filled out correctly by a qualified individual. If the certification is not completed properly, it may hinder the approval process. Taking the time to understand and follow all instructions will greatly enhance the chances of a smooth application experience.

Documents used along the form

The TriMet Honored Citizen form is essential for individuals seeking reduced fare transit services. Completion of this form often requires submission of additional documents to establish the applicant's eligibility. Below is a list of related forms and documents commonly used in conjunction with the Honored Citizen application.

  • Photo ID: A government-issued photo identification is required to verify the applicant's identity and age, especially for seniors over 65 who are applying for the Honored Citizen ID Card.
  • Medicare Card: This card serves as proof of eligibility for certain benefits and can be used to apply for an Honored Citizen ID when presented alongside a government-issued photo ID.
  • Healthy Care Provider Certification: This document must be completed by a licensed health care provider to verify an applicant's disability status. It may be necessary for those applying under the disabled category.
  • VA Documentation: Veterans applying for the Honored Citizen ID on the basis of being a disabled veteran must submit appropriate documentation from the Department of Veterans Affairs.
  • Social Security Benefit Verification: Applicants who qualify based on Social Security disability must attach a verification document confirming their benefits to their application.
  • TriMet Issued Verification Stamp: This stamp is necessary for applications submitted through certified agencies, validating the agency's authority to assist with the application process.
  • Honored Citizen Downtown Pass Application: This separate application is necessary for individuals seeking a discounted transit pass specifically for downtown areas.
  • Visitor ID Verification: Visitors wishing to use TriMet services must present an agency-issued ID from their home city or transit agency when applying for a temporary Honored Citizen ID.
  • Replacement Request Form: For those needing a replacement for lost, stolen, or damaged ID cards, this form must be filled out, along with a $3 fee submission.

Collecting and submitting the necessary documentation can expedite the application process for the TriMet Honored Citizen ID. Each document plays a vital role in verifying eligibility and ensuring that applicants receive the appropriate benefits. Prompt action is recommended to avoid delays in access to reduced fare services.

Similar forms

The TriMet Honored Citizen form is similar to several other documents aimed at verifying identity, age, and eligibility for various programs. Here are seven documents that share similar features:

  • Senior Pass Application: Like the Honored Citizen form, this application requires proof of age (typically 65 or older) and needs to be submitted in person.
  • Medicaid Application: Similar to the Honored Citizen form, Medicaid applications require verification of eligibility via government-issued documents, such as a Medicare card.
  • Veteran Affairs (VA) Benefits Application: This document requires veterans to submit proof of status, often involving a VA card, reflecting a need for specialized documentation.
  • State Disability ID Application: Applicants must provide proof of disability status, akin to the certification requirements found in the Honored Citizen form.
  • Low-Income Home Energy Assistance Program (LIHEAP) Application: This application mandates the submission of income and age-related information, similar to the verification process in the Honored Citizen form.
  • Assisted Living Services Application: This form also necessitates medical verification of eligibility based on age or disability, paralleling the TriMet application process.
  • Public Housing Application: Much like with the Honored Citizen form, applicants must provide identification and proof of eligibility, usually involving income and age documentation.

Dos and Don'ts

When filling out the TriMet Honored Citizen form, there are essential steps to follow for a successful application. Below is a list of things to do and avoid during this process.

  • Do ensure that you print legibly. Clear writing helps avoid misunderstandings and delays.
  • Do provide a valid government-issued photo ID. This is required for the application to be processed.
  • Do check the application for completeness. Ensure that all sections are filled out before submission.
  • Do submit your application in person. It cannot be mailed, faxed, or emailed.
  • Don't forget to pay any required fees. For example, a $3 fee is necessary for lost or renewal cards.
  • Don't submit photocopies of the application form. Only original forms will be accepted.
  • Don't leave out the certification of eligibility. This section must be completed based on your situation.
  • Don't neglect to sign and date the application. An unsigned form will be incomplete and cannot be processed.

Misconceptions

Many people hold misconceptions about the TriMet Honored Citizen application process. Understanding the facts can help simplify the process. Here are nine common misunderstandings:

  • Anyone can apply for an Honored Citizen ID. Only individuals aged 65 or older, those who meet disability criteria, or specific low-income providers qualify.
  • You can apply online. The application must be submitted in person, where a photo will be taken by TriMet staff.
  • A photocopy of the application is acceptable. TriMet does not accept photocopies or faxes. Only the original form is valid.
  • Renewals are free. A $3 fee is required for renewing an Honored Citizen ID, along with a new photo.
  • The ID is permanent once issued. Honored Citizen IDs expire after a set period and must be renewed to remain valid.
  • All forms of ID are acceptable as proof. Your application must include government-issued photo ID to confirm your age or disability status.
  • A doctor's note is needed for all applicants. Only those applying under the disability category must submit a health care provider certification.
  • The application process is lengthy. While it can take some time, applicants can typically receive their IDs on the same day as their application.
  • TriMet IDs are transferable. Each ID is specific to the individual and cannot be used by anyone else.

By clearing up these misconceptions, individuals can navigate the TriMet Honored Citizen application process more easily and effectively.

Key takeaways

Here are some important points to consider when filling out and using the TriMet Honored Citizen form:

  • In-person submission is required. You must apply at the TriMet Ticket Office, bringing a government-issued photo ID and having your photo taken.
  • If you are a senior aged 65 or older, present your government-issued photo ID. This is necessary to qualify for the Honored Citizen fare.
  • Choose the correct application option. Indicate whether this is your first ID card, if you’re replacing a lost or damaged card, or if you are renewing an expired card.
  • A fee of $3 applies for replacing lost or damaged cards and for renewing. The Downtown Pass requires a $10 fee.
  • Documentation is essential. Depending on your eligibility—such as being a senior, disabled veteran, or having Medicare—you need to provide specific verification to complete your application.

For further assistance, you can contact TriMet at 503-962-2455 or via email at accessible@trimet.org during their business hours.

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