Application ID

FREE RIDE / HALF FARE ID APPLICATION

Please carefully fill out all required fields below to submit a Free Ride or Half-fare ID application.
A printable PDF version can be found here if you wish to submit it via mail.
If your ID is lost or stolen, or damaged you need to submit an ID Replacement Form.
Call (618) 797-4600 or email id@mct.org if you have any questions.

First Name

Middle Initial

Last Name:

Street Address 1:

Street Address 2:

City:

State:

Zip:

Date of Birth

Phone Number

Email Address

Status (check one):

New Applicant

Renewal

Apply for (check one):

Benefit Access Free Ride ID (I am enrolled in the Benefit Access Program)

Senior Free Ride ID (I am enrolled in the Benefit Access Program and over the age of 65)

Senior Select Free Ride ID (I am a Madison County resident and am over the age of 75)

Half Fare ID (I am 65 or older AND/OR am a Medicare card holder AND/OR have a state of Illinois DMV issued “disabled” ID)

Please upload a color photo that clearly shows your face.

Maximum file size: 8.39MB

Please upload a copy of your government ID.

Maximum file size: 8.39MB

Please upload any additional required documents if needed. (Medicare card, Benefit Access approval letter etc.)

Maximum file size: 8.39MB

Is your Benefit Access eligibility up to date? (check one)

Yes

Does Not Apply

Benefit Access is state program through the Illinois Department on Aging that enables MCT to distribute free ride IDs. Eligible individuals must reapply for the Benefit Access program every two years.

If not, go to the Benefit Access program to update

If you are human, leave this field blank.

FREE RIDE / HALF FARE ID APPLICATION

Contact Us

Madison County Transit
1 Transit Way
Pontoon Beach, IL 62040
618-797-4600
info@mct.org
RIDER INFO: 618-797-4636

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