1. No category

Request for RTA Permit
Replacement
To apply for a replacement permit,
follow these instructions.
Please keep in mind that the
RTA has a strict ONE PERMIT PER
APPLICANT POLICY. Each time you
request a replacement the old one is
deactivated.
Do not request a replacement unless
your permit was lost, stolen or
damaged.
Step 1
Fill out the application form below. Please make sure you print neatly
and include a telephone number. Do not submit a photo as we have
one on file.
Step 2
Enclose a money order or check payable to the Regional Transportation
Authority. The fee is $5.00 for the first replacement and $10.00 for all
subsequent replacements.
Step 3
Mail your application with money order or check in the enclosed
envelope to the RTA Customer Service Center, 69 West Washington St.
Suite LL07, Chicago, IL 60602. Please do not mail cash. Your permit will
be mailed to you within 2-3 weeks after payment is received.
The RTA does not issue temporary replacement permits. You may
be required to pay full fare until your replacement permit arrives in
the mail.
REQUEST FOR A REPLACEMENT RTA PERMIT—Please print or type
Check One:
Reduced Fare Permit
Ride Free Permit
ADA Paratransit Permit
Name
ID Number (If Known)
Street Address
Email
City/State/Zip
Telephone Number
Date of Birth
Social Security Number
Check One:
First Time Request ($5.00 fee)
Second Request or More ($10.00 fee)
I understand that any information falsely presented on this application may result in my prosecution to the fullest extent allowable under the law.
Signature
Date