Please rate Trimet Honored Citizen 230396 . 10-23
The application must be completed by hand; TriMet will not accept a photocopy, fax or email of this form.
Health care provider: under this type of eligibility, submit this application to TriMet within 30 days of the date completed by the health care provider.
Senior (65+): 65 years of age or older; must present government-issued photo ID.
Medicare card: to qualify, present Medicare card and government-issued photo ID.
Visitor ID: 30 days maximum; visitor must show Transit Agency-issued ID card to qualify.
| Question | Answer |
|---|---|
| Form Name | 230386 |
| Form Length | 2 pages |
| Fillable? | Yes |
| Fillable fields | 51 |
| Avg. time to fill out | 9 min |
| Edition | Rev 10/23 |
| Where to send | Completed application and health care provider certification may be mailed to the TriMet Customer Support Center, 701 SW 6th Avenue, Portland, OR 97204 |
| Other names | 230386, TriMet Honored Citizen Application, Honored Citizen Application, Honored Citizen form |
Trimet Honored Citizen isn’t the one you’re looking for?
Please rate Trimet Honored Citizen 230396 . 10-23
