Welcome to the Benefit Access Application Internet Filing Form
for the following benefits:
- Seniors or Persons with Disability Ride Free Transit Card
- License Plate Discount
Internet filing for the above benefits is quick and easy. These benefits are
now available for TWO years once you have been approved. If you have
filed and been approved this year, you will not need to file again with Benefit Access for two years from your approval date.
For more information about Internet filing, click on the buttons below:
For help filing your application, please contact your local Senior Health Assistance Program (SHAP) site (Click Here). For questions regarding your application, please contact the Senior HelpLine at 1-800-252-8966 (toll-free) or 1-888-206-1327 (TTY).
Printable Documents
- Print Attachment A Form
- Non Filing Statement
NOTES:
- If you are eligible to file a RENEWAL application (up to 90 days before your current application expires) a RENEW option will appear after you enter your Social Security number, Date of Birth and Name.
- The Benefit Access Application does not accept special characters in names (à, ò, ñ, etc). This includes hyphens, if you have a hyphenated last name please use a space instead.
**Applications submitted on January 1, 2024 through April 15, 2024 must use 2022 income to file.**
**Applications submitted on April 16, 2024 or after must use 2023 income to file.**
***Please be aware that ANY application that has had no activity for 90 days will be removed from the system and you will be required to file a new application.***
*Only documents scanned to the application will be accepted - Documents faxed to the Department on Aging will no longer be accepted.*
***If your application was “denied” using your 2022 income, you may re-apply online using your 2023 income on or after April 16, 2024.***
To start a new application, or to search for an existing application,
enter your identification information: