kidcard.portauthority.orgKids Card Application - Kids Card Application

Port Authority Kids ConnectCard Application REDUCED FARE TRANSIT PROGRAM FOR KIDS AGES 6-11 (PAAC Electronic Version) Application Form Parents / Guardian: Please complete the form below, verify with the "Captcha" and press the submit button to apply for your child's reduced fare ConnectCard. NOTE: This site only accepts submissions for first-time applicants. Please do not submit a new online application for a lost or stolen card. For a replacement card, please contact Port Authority’s Downtown Service Center at 412-255-1356. Parent / Guardian Information: First Name: Last Name: MI: Address 1: Address 2: City: State: Zip Code: Alaska Alabama Arkansas Arizona California Colorado Conneticut Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachucetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennesee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming Phone: Email: Child's Information: First Name: Last Name: MI: Date of Birth (mm/dd/yyyy): Gender: Male Female Child's Age Documentation: Please upload documentation confirming the birthdate of the child (example: Birth Certificate, Baptismal Certificate, Statement of Age from US Social Security Administration, etc). This can be as simple as a digital photo of the document taken with your cell phone camera. Once the documentation is verified by Port Authority administration, it will be deleted from our system and not retained for any further use. Note: The document must be less than 50 MB in size. By checking this box, as parent/guardian of the applicant, I accept full responsibility for the proper use of this card and I verify that the information submitted is true and accurate. > © 2020 - Port Authority of Allegheny County, Kids Card Application...