Forms and Policies

Whenever possible, please take advantage of our online services by making changes to your My Clipper account directly through our website. For example, the best way to update your Autoload payment information is to log in to your My Clipper account and report the problem online.

Unless noted, the following files are in PDF format. You will need to have Adobe Acrobat Reader installed on your computer to view these files. A free download is available from Adobe.

Información acerca de Clipper, formularios y folletos en español.

Clipper(路路通)中国话資訊, 申請表和小冊子

Forms and Materials for Discount Clipper Cards
Youth Clipper Card Application Apply for a Youth Clipper card. When submitting, make sure to include a copy of your proof of age.
Senior Clipper Card Application Apply for a Senior Clipper card. When submitting, make sure to include a copy of your proof of age.
RTC Clipper Card User Guide, Large Print \| Tagged Your guide to the RTC Clipper card. Includes information on how to use the card on transit and how to load value to the card.

Forms and Materials for
Discount Clipper Cards

Youth Clipper Card Application

Apply for a Youth Clipper card. When submitting, make sure to include a copy of your proof of age.

Senior Clipper Card Application

Apply for a Senior Clipper card. When submitting, make sure to include a copy of your proof of age.

RTC Clipper Card User Guide, Large Print | Tagged

Your guide to the RTC Clipper card. Includes information on how to use the card on transit and how to load value to the card.

Forms for Cardholder Requests
Autoload Order Form For transit value only. Set up Autoload change your Autoload settings, update your payment information or disable Autoload.
Park with Clipper Autoload Order Form For parking value only. Set up Park with Clipper Autoload, change your Park with Clipper Autoload amount, update your payment information or disable Park with Clipper Autoload.
Administrative Fees Form This form must accompany any payments made to Clipper with a money order.
Defective Card Form Request a replacement or refund for a defective card.
Card Cancellation Form Cancel a card and request a refund (subject to restrictions) for a $5 fee.

Forms for Cardholder Requests

Autoload Order Form

For transit value only. Set up Autoload change your Autoload settings, update your payment information or disable Autoload.

Park with Clipper Autoload Order Form

For parking value only. Set up Park with Clipper Autoload, change your Park with Clipper Autoload amount, update your payment information or disable Park with Clipper Autoload.

Administrative Fees Form

This form must accompany any payments made to Clipper with a money order.

Defective Card Form

Request a replacement or refund for a defective card.

Card Cancellation Form

Cancel a card and request a refund (subject to restrictions) for a $5 fee.

Agreements and Policies
Clipper Cardholder License Agreement \| Text
Website Terms of Use \| Text
Privacy Policy \| Text

Didn't find the form you need? Contact the Clipper Customer Service Center by emailing Customer Service or calling 877.878.8883 (TDD/TTY 711 or 800.735.2929).