Portal for state agency card requests

The ORCA Card Request Form is for agency administrators,
not individual employees.

If you have any issues or questions about this form, please reach out to wsdotORCA@wsdot.wa.gov

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* 1. Name of qualified recipient (this must be an individual who is agency-approved to receive and sign for delivered ORCA cards)

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* 2. State Agency (please spell out fully)

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* 3. Shipping address (address at which someone will be available to sign for cards upon arrival):

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* 5. Number of ORCA cards needed (please think about how many you may need for a 6-month period of time and add 10%):

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* 6. Date of request:

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