Discounted Fares

Low-income riders save on all STAGE routes. STAGE offers reduced fares and passes for low-income households.

2025-2026 Discount Card Application

The Discount Card provides a reduced rate fare for passengers qualifying for low income. The low-income status varies, according to the number of family members in a household. If a person’s income does not exceed the monthly income guidelines, they qualify. The table below displays eligibility income limits.

Monthly Income Limits As Of June 2025

*Add $572.92 for each additional person

Terms and Conditions

1. Must be a resident of Siskiyou County.
2. Applications must be legible, filled out correctly and completely, including APT number.
3. Completed applications should be submitted to the STAGE office with necessary proofs.
4. Must be at least twenty-four years of age or show proof that you live independently. (Eligibility of minors is based on income of parent(s) or legal guardian; minors (under 18) may not apply for or qualify on their own. Parents or guardian must apply.
5. Income levels for discount cards are based on the Federal Income Level Guidelines and MUST include all income for all family members.
6. Discount cards are for immediate family members (in the same household) only. Any co-habitant except husband/wife must file a separate application with their own income.
7. Discount cards are good for one year. If you lose your card, you will be issued one replacement. If you lose the replacement, you must wait until the card expires before receiving a new card.
8. Family members five and over will receive a card. These cards MUST be in possession when riding the bus and MUST be shown to the driver EVERY TIME you ride. Please have your discount card, cash and/or ticket in hand when boarding the bus. If your card is not in your possession, you will be charged full fare.
9. Any misuse of these cards will be cause for cancellation of privileges. We reserve the right to confiscate the discount cards.

Do not submit your application without necessary proof required. Originals will not be returned.

Part 1. General Information

Your Name(Required)

First Last

Your Spouse's Name

First Last

Address(Required)

Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code

Phone

Alternate Phone

Marital Status

Single

Married

Divorced

Separated

Widowed

Part 2. Dependency Status

If you are 24 or younger please complete the following.

1. Do you live with your parents?

Yes

No

2. Do your parents claim you on their tax returns as an exemption?

Yes

No

If you answered “yes” to either question, you are a dependent and cannot apply on your own. Your parent(s) must fill out the application with their income and household information.

If you answered “no” to both questions, you are independent and must provide income, residency, and household information about you (and your spouse, if applicable).

Part 3. Income Information

List all household members with income. Indicate the source and amount of Monthly Income each household member received last month. If any amount was more or less than usual, enter the usual monthly income.

1. Name(Required)

First Last

Source(Required)

Amount(Required)

2. Name

First Last

Source

Amount

3. Name

First Last

Source

Amount

4. Name

First Last

Source

Amount

Part 4. List Yourself and Family Members (if applicable)

List immediate family members who reside in your household and request a card.

Name

First Last

Relationship

Age

This field is hidden when viewing the form

Office Use Only

Name

First Last

Relationship

Age

This field is hidden when viewing the form

Office Use Only

Name

First Last

Relationship

Age

This field is hidden when viewing the form

Office Use Only

Name

First Last

Relationship

Age

This field is hidden when viewing the form

Office Use Only

Part 5. Certification

The information you provide is subject to verification. If any information is determined to be false, you may be denied a discount card. If you have been issued a card and the information you provided is determined to be false, you will be required to forfeit the use of the card.

I have read the RULES of S.T.A.G.E.’s Discount Policy and understand what is required when applying for and/or using my discount card.

I hereby swear and affirm, under penalty of perjury, that all information on this form is true and correct to the best of my knowledge and that all family income is accurately reported. I realize that any false statement may be cause for the removal of my/our discount card(s). I authorize the release of information regarding this application between Siskiyou Transit and General Express (S.T.A.G.E.) and the appropriate agency(s) noted in this application.

I accept the policy that I MUST show my discount card to the driver EVERY TIME I board the bus whether I’m paying by cash or ticket and that I MAY BE ASKED TO SHOW MY IDENTIFICATION. I also realize that these discount cards have been issued to my immediate family and that I may lose the discount if they are used to pay cash fares or to buy tickets at the discount rate for anyone except myself and my immediate family members who reside in the home.

Signature(Required)

Date(Required)

Upload Proof of Income(Required)

Drop files here or Select files

Max. file size: 100 MB.

Upload Proof of Residency(Required)

Drop files here or Select files

Max. file size: 100 MB.

Upload Photo ID(Required)

Drop files here or Select files

Max. file size: 100 MB.

to be used for discount card

Office Use Only

Date Card Issued

Expiration Date

Date Mailed

Reason if not approved:

Date Ineligible Notice Sent

Submit