$25 Transit Subsidy Application

1 Start 2 Complete

To be completed by Go Redmond Transit Subsidy Participant

This request is for (name) *

Daytime phone *

Email *

Home Address

Address *

Unit

City *

State *

Zip *

Employer Address

Employer name *

Address *

Unit

City *

State *

Zip *

Bus route(s) *

Commuting from *

Receive Pass

Yes! I would like to receive a free $25 bus pass to ride transit to/from work.

Survey

Yes! I agree to participate in a very short survey about my commute habits upon completion of the month.

One subsidy per participant, per lifetime.
Applicant must either live or work in the City of Redmond (98052) at an employer with a current Redmond business license.
The incentive is only available for new transit riders who have not ridden transit to work regularly for 90 days.
If the transit rider ceases riding transit prior to the bus pass' expiration date, the pass must be returned to Go Redmond. Applicants are required to create a Go Redmond account and log all commute trips on their Commute Calendar.
Requests must be received by the 20th of the month in order to receive a transit subsidy for the following month.
This application must be received within 30 days of becoming a new transit rider.
Fraudulent use of any Go Redmond subsidy or reward, as determined at the sole discretion of the City of Redmond, immediately suspends all subsidies and obligations to the Go Redmond program for the participant.

I agree to the Program Rules and certify the information provided is accurate:

Signature *

Please type your full name. This will act as a digital signature.