Application for Public Transit Fare Benefit (VA Form 0722)-2025

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Passenger Stage Corporation (PSC) are carriers that transport passengers between points on an individual fare basis. Examples are fixed-route bus services and share-the-ride airport shuttle services. Vessel Common Carrier (VCC) are carriers that transport persons or property between points within the state.
Use this travel reimbursement form (VA Form 10-3542) when you want to ask us to pay you back for travel expenses related to your health care.
Any active state employee whose salary is paid directly by the State of California is eligible to participate in the Program. Employees may change their participation in the Program on a monthly basis.
Generally, you are eligible to participate in the Commuter Benefit Program if you are an active employee, either full-time or part-time, with an appointment of more than 90 days, and have eligible parking expenses.
Prior to participation in the public transit benefit, VA employees will complete VA Form 0722, Application for Public Transit Fare Benefit. VACO employees seeking to apply for transit benefits will utilize the VACO TBP web-based application.
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TSB 2024-04 DOT Transit Benefit Increase to $315 | US Department of Transportation.
Complete VA Form 21-4142, Authorization to Disclose Information to the Department of Veterans Affairs (VA) and VA Form 21-4142a, General Release for Medical Provider Information to the Department of Veterans Affairs (VA); submit completed forms with your claim and VA will attempt to obtain your records through our
PSCs Transit Benefit Program offers Federal Government employees a monthly transit benefit used for daily commutes between an employees primary residence and work location using a qualified means of transportation.

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