Maryland Reduced Fare Program Application: Fill out & sign online

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Click ‘Get Form’ to open it in the editor.
Begin with Section 1, where you will provide your personal information. Fill in your last name, first name, middle name, street address, city, state, zip code, date of birth, and phone number. Ensure all details are accurate.
Indicate whether you are a current Disability ID holder by checking 'Yes' or 'No'.
Sign and date the application at the bottom of Section 1 to certify that the information provided is true.
Proceed to Section 2 for Medical Certification. This section must be completed by your physician or healthcare professional. They will need to provide detailed information about your disability and its impact on your ability to use transit services.
Your physician should also indicate the expected duration of your disability and sign off on their section.
Once completed, save your form and follow the instructions for mailing or faxing it to the MDOT MTA Reduced Fare Certification Office.

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