Pages 3 and 4 of the Reduced Fare Application let a professional verify the disability of an applicant under 65 who wants reduced fares on CTA, Metra and Pace buses and trains in northeastern Illinois. Clinicians see it when a patient has no SSI or SSDI letter, Medicare card or other accepted proof. The patient mails it with the paper application or uploads it online.
A physician, psychiatrist, psychologist, nurse practitioner, physician assistant, audiologist, optometrist, chiropractor, LSW/LCSW, case manager, teacher or other professional who can verify the disability completes the two Professional Verification pages. The applicant completes and signs the application page and supplies a photo and a copy of photo ID.
The applicant enters name, date of birth, address, phone and email, checks Person with Disability, and signs the terms and conditions. All applicants include a 2-inch by 2-inch color photo and a copy of valid photo ID. Applicants with disabilities under 65 also attach one proof: a VA benefit letter, an SSI or SSDI letter, a Medicare card, a Disability ID card, the Professional Verification form, or a professional's letter.
Page 3 is completed only when the applicant needs professional verification of a disability. The professional enters first and last name, business address and telephone number, then checks one profession: teacher, physician, psychiatrist, psychologist, audiologist, nurse practitioner, LSW/LCSW, physician assistant, case manager, optometrist, chiropractor, or Other. NITA uses these details to contact the professional if it needs to confirm the verification.
Page 4 repeats the applicant's last name, first name and date of birth at the top. These fields tie the eligibility checkboxes and signature on this page to the right applicant, so they should match the application page exactly. The page restates who may complete it: a doctor, social worker, case worker, physical therapist or other professional who can verify the disability.
The professional checks every box that applies: a physical disability, hard of hearing or deaf, a psychiatric disability, an intellectual or developmental disability, or low vision or blind. If the impairment does not meet any of the listed limitations, the professional checks the final box stating they cannot certify that the disability meets the criteria for the permit at this time.
The professional certifies to the best of their knowledge that the information is true and correct, then signs and dates. The form warns that information falsely presented by a professional may lead to prosecution and to revocation, suspension, reprimand or other disciplinary action. NITA reserves the right to contact the professional, make the final eligibility decision, and require a second exam by a professional it selects.
Download the current version from the source each time; forms change without notice.
Reduced Fare Application - Professional Verification
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Sources for this guide
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The form lists physicians, psychiatrists, psychologists, nurse practitioners, physician assistants, audiologists, optometrists, chiropractors, LSW/LCSWs, case managers and teachers, with an Other line. Its instructions also name social workers, case workers and physical therapists. Any professional who can verify the applicant's disability may complete and sign it.
The verifier checks one or more of five categories: a physical disability, hard of hearing or deaf, a psychiatric disability, an intellectual or developmental disability, or low vision or blind. A separate box lets the professional state that the impairment does not meet these criteria, so they cannot certify eligibility at this time.
Yes. The form says a professional can write a letter on a prescription or official letterhead explaining the nature of the applicant's disability in place of the Professional Verification pages. The applicant sends the letter with the application or uploads it through the online portal.
Applying online delivers a new, renewal or replacement permit within 7 to 10 business days, according to the application. No time is published for mailed paper applications. NITA may contact the verifying professional, makes the final eligibility decision and can require a second exam by a professional it selects.