Transitchek Order Form PDF Details

Managing commuting benefits for employees is streamlined and efficient with the TransitChek Order Form, a crucial tool for employers seeking to facilitate tax-free commuting options. This form serves as a gateway to ordering a variety of transportation benefits, including the TransitChek Prepaid Visa® Card, TransitChek® Vouchers, and TransitChek® MetroCard® options, tailored specifically for the New York Metro Region. Detailed within the form are sections for company information, product selection, and the choice of delivery address, insisting on complete data to ensure the process proceeds without a hitch. For both new and returning customers, the form delineates clear steps for ordering, payment, shipment, and includes a comprehensive outline of the fees involved, underlining the significance of providing all requested information to avoid processing delays. Furthermore, it emphasizes the convenience of online ordering through its platform, presenting a robust solution for employers to administer commuter benefits effectively. Moreover, the form also encapsulates essential policies on product returns, highlighting the non-returnable nature of most products but providing avenues for specific items like unopened MetroCards. This introductory apparatus not only underscores the program’s adaptability in meeting diverse commuting needs but also reinforces its commitment to delivering a seamless experience for employers and employees alike.

QuestionAnswer
Form NameTransitchek Order Form
Form Length2 pages
Fillable?Yes
Fillable fields106
Avg. time to fill out21 min 46 sec
Other namestransitchek commuter enrollment form, transitchek order form 2018, transit check login, transitchek order form

Form Preview Example

SAVE TIME! ORDER ONLINE AT ORDER.TRANSITCHEK.COM

Are you a new customer?

Yes

No

ORDER FORM

New mailing or email address provided?

Yes

 

 

No

Returning customers, please provide your customer number : _______________

COMPANY INFORMATION: Please fill out completely. Your order cannot be processed unless all information is provided.

*Company Name

Date

 

 

 

*Contact

Name/Title

 

 

 

*Address (We do not deliver to P.O. Boxes or Box Zip Codes)

*Suite/Floor/Room

 

 

 

*City

*State

*Zip

 

 

 

*Phone

*Fax

 

*Email (Important: To receive order and shipping confirmation)

Order Frequency: How frequently do you plan to order:

 

Monthly

Quarterly

Semi-Annually

Annually

SHIPPING ADDRESS IF DIFFERENT:

Check if any information on your account has changed

Name

Company Name

 

 

 

Address (We do not deliver to P.O. Boxes or Box Zip Codes)

Suite/Floor/Room

 

 

 

City

State

Zip

 

 

 

Phone

Fax

 

Email (Important: To receive order and shipping confirmation)

PRODUCT SELECTION CHART

TransitChek Prepaid Visa® Card (Not Returnable/Refundable)

 

Denominations

Quantity

Cost/Item

 

 

Total Cost

 

 

 

 

 

 

 

 

 

 

 

 

$30

 

x

$30

=

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$35

 

x

$35

=

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$45

 

x

$45

=

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$50

 

x

$50

=

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$55

 

x

$55

=

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$60

 

x

$60

=

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$65

 

x

$65

=

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$70

 

x

$70

=

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$80

 

x

$80

=

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$89

 

x

$89

=

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$100

 

x

$100

=

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$104

 

x

$104

=

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$110

 

x

$110

=

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$112

 

x

$112

=

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$115

 

x

$115

=

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$120

 

x

$120

=

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$125

 

x

$125

=

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$150

 

x

$150

=

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$175

 

x

$175

=

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$200

 

x

$200

=

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$225

 

x

$225

=

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$240

 

x

$240

=

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$245

 

x

$245

=

$

 

 

 

 

 

 

 

 

 

 

 

A

 

 

 

 

 

 

 

 

 

 

 

TransitChek Card Total

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The TransitChek Prepaid Visa Card is issued by The Bancorp Bank pursuant

 

 

*Required ields

to a license from Visa U.S.A. Inc. The Bancorp Bank; Member FDIC.

 

 

 

 

 

 

 

TransitChek® Voucher (Not Returnable/Refundable)

Denominations

Quantity

Cost/Item

 

Total Cost

$15

 

x

$15

=

$

 

 

 

 

 

 

$25

 

x

$25

=

$

 

 

 

 

 

 

$30

 

x

$30

=

$

 

 

 

 

 

 

$35

 

x

$35

=

$

 

 

 

 

 

 

$45

 

x

$45

=

$

 

 

 

 

 

 

$50

 

x

$50

=

$

 

 

 

 

 

 

$55

 

x

$55

=

$

 

 

 

 

 

 

$75

 

x

$75

=

$

 

 

 

 

 

 

$100

 

x

$100

=

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TransitChek Voucher Total

$

B

TransitChek® MetroCard® (New York Metro Region Only)

Pay-Per-Ride Cards (includes 5% bonus)

 

Denominations

 

Quantity

Cost/Item

 

 

Total Cost

 

 

 

 

 

 

 

 

 

 

 

 

$23.81 (10 trips)

 

 

x

$23.81 =

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$35.71 (15 trips)

 

 

x

$35.71 =

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$47.62 (20 trips)

 

 

x

$47.62 =

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$54.76 (23 trips)

 

 

x

$54.76 =

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Unlimited Ride Cards

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7–Day Unlimited

 

 

x

$30

=

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7–Day Express

 

 

x

$55

=

$

 

 

 

 

 

Bus Plus

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

30–Day Unlimited

 

 

x

$112

=

$

 

 

 

 

 

 

 

 

 

 

 

 

C

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TransitChek MetroCard Total

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

D

 

 

 

Total ( A + B + C )

$

 

 

 

 

 

 

 

 

 

 

 

 

 

4.5% Processing Fee ( D X .045)

$

 

 

E

 

 

 

 

 

 

 

 

 

 

 

 

 

Packaging and Delivery

$

18.00

 

F

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total Order Cost ( D + E + F )

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

© 2013 WageWorks, Inc. All Rights Reserved.

 

 

 

 

GENOF-0213

Order Instructions

(for your records)

TransitChek is an IRS-approved commuter benefits program that lets employees save money on their commute by transit or eligible vanpools with tax-free dollars. They are eligible to use up to the IRS allowable amount, tax-free. Please visit our website at: www.transitchek.com for more information on using the TransitChek Program and other helpful information.

SAVE TIME! ORDER ONLINE AT ORDER.TRANSITCHEK.COM – MORE PRODUCTS AVAILABLE

ORDER INFORMATION

1.How to Order

Determine how many products you need to order per employee per benefit cycle. There is no minimum order.

2.Payment Options

Orders will not be processed until full payment is received. Please make checks payable to “TransitChek” You may use a Certified Check, Bank Check, Money Order or Bank Transfer when placing your order. Credit card and eCheck/ACH payments are accepted only online at https://order.transitchek.com.

3.Shipments

All products will be received 7-10 business days after receipt of payment. They will arrive in one box, via FedEx 2 Day service, and require a signature for delivery.

4.Fees

Packaging and delivery fees for TransitChek orders are $18. Processing fees are 4.5% of your total order.

For questions about your order or assistance with ordering, call Customer Service at: 1.800.945.CHEK (2435).

Or visit us at www.transitchek.com

SEND FORM & PAYMENT TO:

Standard Deliveries:

 

Overnight & Messenger†† Deliveries:

TransitChek

JPMorgan Chase

General Post Office

Attn: Lockbox 27457

PO Box 27457

4 Chase MetroTech Ctr, 7th Fl. East

New York, NY 10087-7457

Brooklyn, NY 11245

 

 

1.800.945.CHEK (2435)

††Note: Messenger Center is located on Willoughby Street entrance.

PRODUCT RETURN POLICY

TransitChek MetroCard:

TransitChek only allows for unused, unopened TransitChek® Pay-Per-Ride MetroCard® and TransitChek® Unlimited Ride MetroCard® products that are not more than two years past the expiration date to be returned. Damaged MetroCard must be mailed to MTA-NYC Transit for replacement. Pre-addressed postage-paid envelopes with questionnaires (for returns to the MTA-NYC) can be obtained at subway station booths.

Returns should not be sent to the addresses listed above! Please send wrapped MetroCard products to: TransitChek, 1065 Avenue of the Americas, 5th Flr., New York, NY 10018 along with a completed TransitChek Return Authorization Form. For questions about returning wrapped MetroCard products, call TransitChek Customer Service at 1.800.945.CHEK (2435).

TransitChek® Vouchers:

Can not be returned for credit or refund.

TransitChek Prepaid Visa® Card:

Can not be returned for credit or refund. Cards have a one year expiration. Balances on TransitChek Cards that are near expiration or you suspect are damaged can be easily transferred to another TransitChek Card at www.transitchek.com under Manage Your TransitChek.

Please remind your employees to review their current and unused products to make certain they are used before the expiration date.

The TransitChek Prepaid Visa Card is issued by The Bancorp Bank pursuant to a license from Visa U.S.A. Inc. The Bancorp Bank; Member FDIC.

© 2013 WageWorks, Inc. All Rights Reserved.

GENOF-0113

How to Edit Transitchek Order Form Online for Free

It is possible to fill in the transit chek login document using this PDF editor. The following steps will help you quickly create your document.

Step 1: Hit the button "Get form here" to access it.

Step 2: Now you are ready to modify transit chek login. You possess numerous options with our multifunctional toolbar - you can include, erase, or alter the content, highlight its specific sections, as well as conduct similar commands.

To be able to obtain the template, provide the information the platform will require you to for each of the next segments:

stage 1 to filling out transitchek order form 2020

Note the expected details in the segment Transit, Chek, Voucher, Total Transit, Chek, Metro, Card New, York, Metro, Region, Only Pay, Per, Ride, Cards, includes, bonus Denominations, Quantity, Cost, Item Total, Cost trips, trips, and trips.

transitchek order form 2020 TransitChekVoucherTotal, TransitChekMetroCard, NewYorkMetroRegionOnly, PayPerRideCardsincludesbonus, Denominations, Quantity, CostItem, TotalCost, trips, trips, and trips fields to complete

You'll have to note certain data in the segment Transit, Chek, Card, Total trips, Day, Unlimited Day, Express, Bus, Plus Day, Unlimited Unlimited, Ride, Cards Transit, Chek, Metro, Card, Total Total, ABC Processing, FeeD, X Packaging, and, Delivery Total, Order, Cost, DEF Require, die, lds and Wage, Works, In, cAll, Rights, Reserved, GEN, OF

step 3 to finishing transitchek order form 2020

The ORDER, INFORMATION, How, to, Order Payment, Options Shipments, Fees, Or, visit, us, at, www, transit, chek, com Standard, Deliveries Overnight, Messenger, Deliveries and SEND, FORM, PAYMENT, TO section will be used to note the rights or obligations of both sides.

transitchek order form 2020 ORDERINFORMATIONHowtoOrder, PaymentOptions, Shipments, Fees, Orvisitusatwwwtransitchekcom, StandardDeliveries, OvernightMessengerDeliveries, and SENDFORMPAYMENTTO fields to insert

Step 3: Select the button "Done". The PDF form is available to be exported. It is possible to save it to your laptop or send it by email.

Step 4: It may be simpler to maintain duplicates of the document. You can be sure that we won't share or read your information.

Watch Transitchek Order Form Video Instruction

Transitchek Order Form isn’t the one you’re looking for?

Related Documents

  • Yankee Candle Order Form

    "... More but I couldn't resist the opportunity because they were an amazing deal. It brought candles down to less than ten dollars per piece. ..."

  • Thirty Order Form

    "... They need to complete some details at the top. I think the most important information is that they understand that the warranty is 90 days. I also want them aware that I will send them ..."

  • Tupperware Order Form

    "... Shipping 10 retail minimum 50 items add 00 for direct ship ..."

  • Walkenhorst Order

    "... Walken horst Order Form Napa Ca 94558 Phone toll Free 800 660 9255 Fax 707 261 420 Please circle the appropriate Quarter Inmate Information Purchaser Information. Walken horst doesn't accept personal checks ..."

Please rate Transitchek Order Form

1 Votes

Related Resources

  • TransitChek@ in the New York City and Philadelphia Areas

    throughout the greater Manhattan area, providing application/order forms in ... A sample TransitChek” is displayed below with key design elements of the ...

  • Commuter Card - NYC.gov

    Contact LIRR/MNR to request the credit be returned to your Edenred account; otherwise, ... For detailed instructions and deadlines regarding this process, ...

  • Commuters - OPA - NYC.gov

    Download Edenred Benefits Mobile Application Guide ... and are considering resuming payroll deductions or transit orders, please follow these instructions:.

If you believe this page is infringing on your copyright, please familiarize yourself with and follow our DMCA notice and takedown process - click here to proceed .