EcoPass Request Form: Temporary Employees
Please use this form to request an EcoPass for temporary employees.

Contact Jenny Niemann at jniemann@flagstaffaz.gov if you have any questions.

Thank you!
Jenny
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Basic Information on the Temporary Employee
First Name *
Last Name *
Department *
Work location (City Hall, etc.) *
Title *
Email Address *
How often do you take the bus now? *
Start Date at the City of Flagstaff *
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End Date at the City *
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Supervisor Information
Your EcoPass will be distributed via notification to your supervisor. Your supervisor is responsible for collecting the EcoPass upon the end of the employment period and returning it to the HR Department.
Supervisor First Name *
Last Name *
Department *
Email Address *
My supervisor is aware that they will be responsible for the return of my EcoPass to the Human Resources division at the end of my employment period. *
EcoPASS Information:
Our goal is for all employees to know how to use their EcoPASS. Please see the information below, and contact the Sustainability Section at sustainability@flagstaffaz.gov if you have any questions.

Important things to know:
  - The pass will work starting Saturday, July 1st, for the next year.
  - To use the pass, simply scan it on the card reader when you board the bus.
  - ONLY YOU can use the pass. If a pass is used by someone other than yourself, the bus driver has the right to confiscate your pass.
  - Do not punch a hole in the pass.
 
Temporary staff will not be provided with City IDs. Their names will be written on their EcoPasses at the time of pass distribution. Temporary staff will need to carry a picture ID card, matching the name on their EcoPass, for Identification Verification.

Because ecoPASS cards are used by many employers in Flagstaff, including the County and NAU, bus drivers must be able to verify that you are actually the valid pass holder. The driver has the right to ask for identification when you use your ecoPASS – you need to show your EcoPass with your name + a picture ID. Drivers will not always ask for ID but sometimes will.

Note that this process is distinct for temporary staff. Benefit-eligible staff will use their City ID Cards.


Information that will help you use the Mountain Line System:
To learn more about the Mountain Line bus system, see: http://mountainline.az.gov/

To plan a trip:
  - use the Mountain Line trip planner: http://mountainline.az.gov/trip-planner-arrivals/
  - or use the Transit Button on Google Maps - via the phone App or online at https://www.google.com/maps 

Please download the Mountain Line FLGRide phone App:
  - Apple: AppStore: https://itunes.apple.com/us/app/flgride/id1141042497?mt=8 
  - Android: Google Play Store: https://play.google.com/store/apps/details?id=com.transitfare.flgride 
EcoPASS Agreement
By indicating their agreement below, the employee accepts responsibility for proper use of the ecoPASS.
1). The employee agrees not to allow any other persons to use their pass. Passes are subject to forfeiture if used by anyone other than the assigned City of Flagstaff employee.
2). The employee agrees to carry their City of Flagstaff employee ID whenever using the EcoPass.
3). It is the responsibility of the registered passholder to notify the Sustainability Section immediately if the ecoPASS is lost or stolen. There will be a $3 replacement fee for each replacement pass.
4). Do not punch a hole in the pass.
Write your full name below if you have read and agree to the EcoPASS agreement. This constitutes your signature and willingness to comply with the terms above. *
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