Form online 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out the 'Customer Information' section. Enter your first name, last name, apartment number, mailing address, city, state, and zip code.
3. If applicable, provide your vehicle license plate number and phone number in the designated fields.
4. Review the eligibility criteria listed on the form. If you qualify automatically, ensure you have the required documents ready for submission.
5. For customers not enrolled in specified programs, follow the instructions to take your completed form and necessary documents to the San Francisco Human Services Agency (HSA).
6. After receiving verification from HSA, return with your certified form to the SFMTA Customer Service Center or appropriate location as indicated.
7. Finally, ensure you initial where required and sign at the bottom of the form before submission.

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