Clipper Card Cancellation form 2026

1. Click ‘Get Form’ to open the Clipper Card Cancellation form in the editor.
2. Enter your 10-digit Clipper card serial number in the designated field at the top of the form.
3. Fill out your contact information, ensuring it matches your card registration. Include your first name, middle initial, last name, billing address, and phone numbers.
4. Indicate your reason for cancellation by checking all applicable boxes in the 'Reason for Cancellation' section.
5. Provide your credit card details for the $5 processing fee. Ensure that the billing address matches what you provided earlier.
6. Sign and date the form to authorize payment and agree to the terms stated.
7. Include your Clipper card with this completed form and mail it to Clipper Customer Service at the specified address.

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