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2. EcoPass Renewal Application
   This form is for EcoPass renewals - those who have already been issued an EcoPass. To apply for a new EcoPass, visit www.townoflyons.com/EcoPass.
4. PRIMARY APPLICANT INFORMATION
   Please note that you need copies of you need digital copies of photo ID(s) and proof of Lyons residency for each renewing applicant.
6. First Name
7. Last Name
9. Phone Number*
10. Email Address*
11. Date of Birth*
    Date of Birth
13. Address*
15. City*
16. State*
17. Zip Code*
19. Select the appropriate category for the primary applicant*

    1. Regular Pass (ages 20-65)
    2. Youth (ages 6-19)
    3. Senior age (65+)

    Note: Children ages 5 and younger ride free with a fare-paying adult.

21. Upload Copy of ID*
    Scan or take a photo of your ID and upload it here.
22. Upload Proof of Address*
    Scan or take a photo of a a document that includes your name and physical address (P.O. Boxes will not be accepted) and upload it here.
26. ADDITIONAL APPLICANTS (Family Members in the Same Household)
    If more than two additional applicants please complete the two below and then start a new form with additional applicant information. If you are only applying for yourself please scroll down to the submit button below.
28. First Name (Additional Applicant 1)
29. Last Name (Additional Applicant 1)
30. Date of Birth (Additional Applicant 1)
    Date of Birth (Additional Applicant 1)
32. Select Category (Additional Applicant 1)

    1. Regular Pass (ages 20-65)
    2. Youth (ages 6-19)
    3. Senior Age (65+)
33. Upload Copy of ID (Additional Applicant 1)
    Scan or take a photo of your ID (if over 18) and upload it here.
37. First Name (Additional Applicant 2)
38. Surname (Additional Applicant 2)
39. Date of Birth (Additional Applicant 1)
    Date of Birth (Additional Applicant 1)
41. Select Category (Additional Applicant 2)

    1. Regular Pass (ages 20-65)
    2. Youth (ages 6-19)
    3. Senior (65+)
42. Upload Copy of ID (Additional Applicant 2)
    Scan or take a photo of your ID (if over 18) and upload it here.
46. RTD Bar code instructions

    Please remember that you will need to add the barcode to your RTD application in order for Town of Lyons staff to add the Ecopass to your account. 

    The directions to add the bar code are on the Town's website. https://www.townoflyons.com/DocumentCenter/View/2708/Directions-for-RTD-MyRide-App

    
    

    Please direct questions to ecopass@townoflyons.com.

Leave This Blank:


48. 1. Receive an email copy of this form.
49. Email address

    This field is not part of the form submission.

50. Submit

* indicates a required field