Clipper Access is the Bay Area's transit discount card for people whose disability limits their ability to use fixed-route buses, light rail, commuter rail or BART. Applicants without existing proof such as Medicare or a DMV placard use this three-page medical application, on which a California-licensed practitioner certifies one of 19 eligibility categories. The program was formerly called the RTC Discount Card.
The applicant completes Sections One to Three: contact details, a release valid for 90 days, and a signed attestation. The certifier completes Section Four only: the category number, a DSM code for Category 17, whether the disability is permanent or its duration in months, whether an attendant is needed, and a signature with California license number.
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Medical Eligibility Application - Clipper Access Card
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A California-licensed medical or other qualifying practitioner, called the Certifier. The program verifies the certifier's license with the state board, and only California licenses are accepted. The certifier enters the category number, field of practice, license number, phone and fax, and signs Section Four.
Yes. The Medical Eligibility Application is published in English and Spanish, with Traditional Chinese and Tagalog versions as well. The certifier section and the 19 eligibility categories are the same in each language, and Category 17 still requires a DSM code.