Individuals who qualify for City Link’s One-Half Fare Program are entitled to ride regular fixed route buses for
one-half the regular adult fare. A special One-Half Fare ID card will be issued to eligible individuals who have
qualified for the service by completing the application form. City Link’s ID card is required and must be shown
when boarding the bus in order to receive reduced fare privileges. Medicaid cards and State of Kansas medical
cards are not verification of eligibility.

Who is Eligible?
The One-Half Fare Program is available for those individuals who are 60 years of age or older, for individuals
who are Medicare card recipients, or for those who have a physical or mental disability that is verified by a
qualified professional such as: physician(M.D. or D.O.), registered nurse, physical or occupational therapist,
psychiatrist, psychologist, mental health counselor, vocational counselor, rehabilitation specialist, independent
living skills trainer or ophthalmologist.

How Do I Qualify?
1. Fill out the One-Half Fare application. Persons 60 years of age or older and/or Medicare cardholders must fill
out and sign Part I of the application form. Persons with disabilities who are not 60 years of age or older and do
not have a Medicare card, must complete and sign Part I, and must also have a qualified professional fill out
and sign Part II.

2. Bring the completed and signed application form and all other supporting documents (including a photo ID, a
driver’s license, Kansas ID, or birth certificate) to the Finney County Transit Center at 907 North 10th between
6:00 AM and 7:00 PM, Monday through Friday. The application will be processed and your eligibility will be
determined. Upon acceptance into the program, you will be issued a One-Half Fare ID card.

Card Replacement
There is no charge for the original ID card. If your card is lost or stolen, please notify Finney County Transit
immediately by calling 620-272-3626. Replacement ID’s will be issued at a cost of $5.00 per card. Cards used
improperly will be confiscated and privileges will be revoked. If you have any questions about the One-Half Fare
Program, please call 620-272-3626 between 6:00 AM and 7:00 PM, Monday through Friday.


CITY LINK’S ONE - HALF FARE PROGRAM APPLICATION FORM - PART I

Please make sure the documents are signed and dated.

Name:_________________________________________________________________________________
                      Last                                                               First                                                        Middle

Address:_______________________________________________________________________________
                                    Street                                                          City                                              Zip

Phone Number:______________________________________   SSN:______________________________

Date of Birth:   Month ________________________ Day ________________ Year _____________________


I am applying for a City Link One-Half Fare ID card because:
                                         
CHECK ONE

_______ A. I am over 60 years old (Requires a valid drivers license, Kansas ID, or Birth Certificate
                 upon application)

_______ B. I have a Medicare Card. (You must have your Medicare card and some form of ID upon application.
                 Kansas Medicaid recipients do not automatically qualify.)

_______ C. I have a legally documented disability. (You must have a qualified professional fill out Part II)         

I certify that the information provided is true and agree to release this information to City Link for the purpose of
obtaining a One-Half Fare card. I understand that the card is for my personal use and will not be transferred to
any other person. I grant City Link permission to verify the information given on Parts I and II of this form.


_______________________________________________________________________________________  
                        Signature of Applicant                                                                                              Date






CITY LINK’S ONE-HALF FARE PROGRAM  APPLICATION FORM - PART II


To Be Completed By A Qualified Professional Only

To be eligible for the City Link One-Half Fare Program, your patient/client must have a physical or mental
condition that falls within the medical criteria listed below. If you confirm that the patient/client is physically or
developmentally disabled, that person will be eligible for reduced fares on Finney County Transit’s public bus
services. Persons will not be eligible for reduced fares if their sole capacity is pregnancy, obesity, and acute or
chronic condition due to drugs, alcohol, or any contagious disease. All information provided will be held
confidential.

A. Physical Disabilities

_____        1. Restricted Mobility
                    Disabilities requiring the use of a cane, crutches, leg braces, walker, or other orthopedic
                    devices  used to assist an individual in moving about.
_____        2. Arthritis
                    American Rheumatism Association criteria may be used for the determination of arthritic disability.
                    Therapeutic Grade III, Functional Class III, Anatomical State III, or worse is evidence of arthritic
                    disability.
_____        3. Loss of Extremities
                    Anatomical deformity, amputation of both hands, one hand and one foot, or loss
                    of major function.
_____        4. Cerebrovascular Accident
                    Ongoing debilitating effect which follows an occurrence of a cerebrovascular accident.
_____        5. Cardio-pulmonary Disease
                    Serious loss of heart or lung reserves as shown by X-ray, EKG, or other tests, and in spite of
                    medical treatment, there is breathlessness, pain or fatigue.
_____        6. Dialysis         
                    Individual who must use a kidney dialysis machine in order to live.
_____        7. Acquired Immunity Deficiency Syndrome         
                    AIDS/HIV positive.

B. Visual Disabilities         

_____        1. Legally Blind
                    Visual impairment that is bilateral and not correctable with lenses.
_____        2. Contraction of Visual Field         
                    Person whose widest diameter of an angular distance of 20 degrees, or less than 10 degrees
                    from point of fixation, or whose visual field efficiency is 20 degrees or less.         

C. Hearing Disabilities

_____        1. Legally Deaf
                    Hearing impairment that is bilateral and not correctable with a hearing aid.
      
D. Mental Disabilities
_____        1. Developmentally Disabled
                    Mental disability that originates before age 22.
_____        2. Adult Mental Retardation

_____        3. Epilepsy
                    Grand Mal or Psychomotor. People who are seizure-free for a continuous period of six months
                    are disqualified.         
_____        4. Autism
                    Monotonously repetitive motor behavior, severe withdrawal, inappropriate response to stimuli and
                    very inadequate social relationships.         
_____        5. Neurological Disabilities
                    Neurological and physical impairments not controlled by medication such as cerebral palsy or
                    multiple sclerosis.
_____        6. Organic Brain Syndrome/Emotionally Disturbed
                    Chronic illness/disturbance that requires boarding or care home, funded    work activity or
                    workshop.

Is the disability permanent? Yes _____        No _____

If temporary, please list estimated number of months of temporary disability: _______

I hereby certify that the applicant,_______________________________________ , is disabled as defined by
the preceding criteria and that the information contained on this form is true.



__________________________________________                   ________________________
Physician Name                                                                                 Date


____________________________________________              ________________
Physician Signature                                                                         Telephone
CITY LINK’S ONE - HALF FARE PROGRAM
(to print application, right click on the document and click print)