Transit Affordable Pass Program

The Affordable Pass Program (APP) allows eligible residents to purchase discounted 30-day and 10-ride bus passes for the LTW (Leamington to Windsor) Transit and 30-day passes for the LTGO Transit.

The APP covers 50% of the cost for a full-price transit pass, and registrants pay the remaining 50% at the time of purchase.

The APP is funded by Pathway to Potential.

Participant First Name

Participant Last Name

Date of Birth

Age

Address

City

Postal Code

Phone Number

Email Address

Are you renewing an application?

Yes

No, I am a new applicant

Are you a student?

Yes

No

Please provide the following information for all household members, including spouse and dependents: Full Name, Date of Birth, Age, Student (Y/N), and School Name (if applicable). - Click ? for more details.

How did you hear about the Affordable Bus Pass Program?

Social Media

Ontario Works Office

Poster

Newspaper/Radio/TV

Bus Schedule Ad

Word of Mouth

Website

Other

What will be the main use of the Affordable Bus Pass?

Work

School

Medical

Leisure

Other

Please upload Notice of Assessment and/or, Canada Child Tax Benefit. All Household incomes apply.

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Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

Statement - Online Form Submission:

By submitting this online form to the Municipality, the user represents and warrants that the user has the authority to bind the applicant; acknowledges that the submission is deemed to be a substitute for the user’s signature on the online form and signifies that the user has read, understood and agreed to the contents within the online form and any document referenced in the online form and agrees that the applicant is bound by the content herein, including the Applicant Checklist.

Privacy Statement: Personal information on this form is collected under the authority of the Municipal Act, 2001, R.S.O. c45. The information collected on this form will be used to determine applicant eligibility for financial assistance. Questions about the collection of this information can be directed to the Manager of Legislative Services/Clerk, Municipality of Leamington, 111 Erie Street North, ON N8H 2Z9. 519-326-5761

Please confirm that you have read and accept the "Statement - Online Form Submission"

Yes, I wish to submit this Online Form

Transit Affordable Pass Program

Transit Affordable Pass Program

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