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Get CA SFMTA Low-Income Discount Eligibility Form 2018-2024

Fee Waiver Citation Payment Plan Enrollment *Low Income is defined as a household income at or below the following limits. Household Size 1 2 3 4 Annual Income $24,280 $32,920 $41,560 $50,200 Visit www.sftma.com/paymentoptions for more information on income requirements. 5 $58,840 INSTRUCTIONS STEP 1 Bring this form and required documentation (listed below) to the Human Services Agency (HSA) located at 170 Otis Street (at McCoppin Street) for income and residency certification.

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