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Reduced Fare Program
Customer, Please Note:
a) For Senior Citizens, minimum eligibility age is 65 years. NO Medical certification required. Provide proof of age and identity.
b) Processing time varies (1 - 5 business days), depending on verification of information contained herein.
STRIDES BUS CARD AFFIDAVIT
I agree to the following conditions regarding use of STRIDES Bus Cards:
1. NOT TRANSFERABLE: This card is not transferable and if presented by any person other than to whom it is issued, STRIDES will
confiscate the card. If a card has been confiscated due to usage by any unauthorized party, STRIDES has the right not to issue a
2. PROPERTY OF STRIDES: This STRIDES Bus Card is the property of STRIDES, and MUST be presented upon use when
boarding a STRIDES bus. Also please be advised that this card must be surrendered upon request by a STRIDES official.
3. APPLICABILITY OF REDUCED FARE: The elderly/disabled/Medicare reduced fare is applicable to all regular fixed route services.
4. LOST OR STOLEN CARDS: Reduced Fare STRIDES card are issued monthly. A replacement fee will be charged for each lost
or stolen card. STRIDES reserves the right to limit the number of replacements.
5. DEFACED / DAMAGED CARDS: Photos that are faded, numbers missing or scratched off will be considered invalid and subject to
confiscation. Cards MUST be turned in immediately for a replacement at no cost . It is your responsibility to maintain the STRIDES Card
in good, useable condition.
Applicant's Release- I hereby authorize the designated HealthCare Provider to release any information necessary to complete
this certification. I understand that this information is confidential and shall not be realeased without my approval or a court
order. I understand that STRIDES has the right and opportunity to verify my eligibility for a STRIDES Reduced Fare Card. I
understand that if any of the statements made on this application form are false or inaccurate, I will lose the privileges granted
by the Reduced Fare Card and be subject to criminal prosecution in accordance with Georgia State Law for fraud (O.C.G.A. 16-
Eligibility Guidelines for the STRIDES Reduced Fare Program
Note: These guidelines are not intended to be inclusive of all disability types. However, the following categories and
descriptions are provided to the health care provider as examples of generally accepted guidelines within the transit
industry in interpretation of the Federal Transit Administration's (FTA) definition of disabilities for persons seeking to
participate in a transit agency's half fare program.
Persons with disabilities are defined by FTA as persons “who by reason of illness, injury, age, congenital malfunction, or
other incapacity or temporary or permanent disability (including any individual who is a wheelchair user or has semiambulatory
capabilities), cannot use effectively, without special facilities, planning, or design, mass transportation
service or a mass transportation facility.” 49 CFR Ch. VI (10-1-12 Edition) Pt 609, APP A
THE FOLLOWING CATEGORIES:
An individual is unable to walk and requires the use of a wheelchair or other mobility device
An individual has a chronic condition which substantially limits the ability to walk, or is unable to walk without the
use of a caliper leg brace, walker or crutches.
An individual has an amputation of one or both hands, arms, feet or legs
An individual has substantial functional motor deficits in any of two extremities, loss of balance and/or cognitive
impairments three months post stroke.
5 NEUROLOGICAL CONDITIONS OTHER THAN STROKE:
An individual has difficulty with coordination, communication, social interaction and/or perception from a brain,
spinal or peripheral nerve injury or illness, has functional motor deficits, or suffers manifestations that significantly
6 PULMONARY OR CARDIAC CONDITIONS:
An individual has a pulmonary or cardiac condition resulting in marked limitation of physical functioning and
dyspnea during activities such as climbing steps and/or walking a short distance. If diagnosis is asthma, please
state whether: a) individual has been on systemic medication for the immediate past six months. OT b) individual
has been required to use fast acting inhaler for three or more episodes per week for immediate past six months.
7 VISUALLY IMPAIRED:
An individual is legally blind, whose visual acuity in the better eye, with correction, is 20/200 or less, or who has
tunnel vision to 10 degrees or less from a point of fixation or so the widest diameter subtends an angle no greater
than 20 degrees. An individual has low vision, and whose visual acuity is in the range of 20/70 to 20/200 with best
8 DEAF OR HARD OF HEARING:
An individual with a pure tone average greater than 70 dB in both ears, regardless of use of hearing aids.
An individual has had at least one tonic-clinic seizure with the past four months.
10 DEVELOPMENTAL OR LEARNING DISABILITIES:
An individual has a significant learning, perceptual and/or cognitive disability. Some conditions are excluded from
eligibility such as attention deficit disorder (ADD) and ADHD.
11 MENTAL ILLNESS:
An individual whose mental illness includes a substantial disorder of thought, perception, orientation, or memory
that impairs judgement and behavior.
12 CHRONIC PROGRESSIVE DEBILITATING CONDITIONS:
An individual who experiences debilitating diseases, autoimmune deficiencies or progressive and uncontrollable
malignancies. Any of which are characterized by fatigue, weakness, pain and/or changes in mental status that