Rockaway/Broad Channel Resident Discount Sticker Application

A special discount is available for residents of Rockaway and Broad Channel using the Marine Parkway and Cross Bay Bridges respectively.

To participate in this program, Rockaway and Broad Channel residents must obtain a Rockaway Resident Discount Sticker by providing proof of residency and ownership of passenger vehicle/or primary use of vehicle. (Qualifying zip codes are 11691, 11692, 11693, 11694, 11695, and 11697.)

To qualify for a sticker, which may be valid for up to three years, you must complete/sign and return this application to the address below together with a copy of the vehicle's registration. If the registration does not show your name or your current Rockaway/Broad Channel address, you must also provide one or more of the following:

1. If the registration shows a name other than your own, in addition to proof of residency. you must submit:
   
   • Leased/Rented Vehicles: A copy of Lease Agreement or Rental Agreement (minimum of 30 days)
   • Company Vehicles: Letter from company stating vehicle is issued to you for your personal use
     
     

2. If Registration shows address other than your current Rockaway address, you must submit additional proof of residency such as a current utility bill (phone, gas or electric) or driver's license with current address.
   
   Unacceptable Classifications / Vehicles:

• COM Commercial Vehicles
• MOT Motorcycles
• OMT/OMS/OML Taxi, Limousines, Buses

Rockaway/Broad Channel discount tokens are sold at the Marine Parkway and Cross Bay Bridges toll booths and are accepted at these facilities only. Sticker must be affixed to the vehicle's window at the time of purchase and use of tokens.

For additional information, please call (1-800) 333-TOLL.

(Detach and submit bottom portion with the required information.)

I state that I am a Rockaway/Broad Channel resident and that the information on this application is correct.

(Signature) ____________________________________

(Date) ___________

(License Plate) ______________________

Name ______________________________________

YOUR CURRENT ADDRESS (including state and zip code)

_____________________________________________________

_____________________________________________________

(Day) Phone Number __________________________________

Return this completed/signed application, together with the appropriate documentation to:

MTA B&T Rockaway Resident Discount Program
P.O. Box 149001
Staten Island, NY 10314-9001