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Senior Fare Program Application
The senior fare program allows residents of Chester, Clinton, Deep River, Durham, Essex, East Haddam, Haddam, Killingworth, Lyme, Old Lyme, Old Saybrook and Westbrook age 60 or over to travel on a donation only basis. Off-route and Dial-A-Ride trips require pre-registration which can be done by phone. Trips on a route only require a 9 Town Transit Senior Fare Card, can be obtained by completing the form below.
A government issued photo ID showing your age must be submitted. If your government issued photo ID does not contain an area address, other documents may be presented to verify your address. A list of documents accepted can be found in our "Fares" section of our website.
Name
*
First
Last
Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Phone
*
###
-
###
-
####
Date of Birth
*
MM
/
DD
/
YYYY
Email
ID
*
Please upload a copy of your government issued photo ID showing your date of birth and address.
Address Documentation
If your photo ID does not show your current address, please upload documentation of your new address (e.g. utility bill)
Photo
*
Photo must show from the top of your head to the bottom of your chin and must be clear and unobstructed.
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