Marin Access LIFA Local Bus Pass Application

Respond to all of the questions below to complete your application for the Marin Access LIFA Local Bus Pass. Your application will be considered incomplete if you do not view the full Marin Transit Travel Training Video. Incomplete applications will not be processed. Processing can take up to 21 days. 

If you have any questions about how to complete this application, please contact the Marin Access Travel Navigators at 415.454.0902. 

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* 1. The LIFA local bus pass can be used on all Marin Transit Local Bus routes and the Stagecoach. The pass cannot be used on Paratransit, Dial-A-Ride, Connect, the Muir Woods Shuttle, Golden Gate Transit bus service or the SMART train. I understand this and want to complete this application.

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* 2. First Name:

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* 3. Last Name:

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* 4. Date of Birth:

Date

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* 5. Marin Access ID:

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* 6.
Watch the video below to learn about how to use your Marin Access LIFA Local Bus Pass. 

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* 7. I certify that I have watched the Marin Transit Travel Training video in full. Failure to do so will result in disqualification for this pass.

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* 8. Upload a photo for your Marin Access LIFA Local Bus Pass.

PNG, JPG, JPEG, GIF file types only.
Choose File

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* 9. I understand that the Marin Access LIFA Local Bus Pass is non-transferable and misuse will be reported to Marin Transit. I understand that the pass can only be replaced ONCE during the period of eligibility if lost. I understand that I may be asked to present picture ID when I ride. I understand that the pass MUST be renewed annually as part of the Marin Access Low Income Fare Assistance program renewal.

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* 10. I certify that the information in this application is true and correct. I understand that knowingly falsifying the information will result in dismissal from the program. I understand that completing this form does not amount to an eligibility determination.

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