Note: People eligible for paratransit do not have to fill out this form, since their eligibility card already entitles them to a free travel companion on the regular network (bus, metro, train, REM). The paratransit eligibility card is not a transit fare, and these people must have a valid transit fare when they travel.
This section must be completed and signed by an authorized health care professional.
Based on my assessment, I certify that __________________________________________________ has the disability or disabilities indicated in Section 2 of this form, justifying the need for a travelling companion during their trip(s) on the regular public transit network (Section 3).
As the person entitled to a free travel companion on the regular network, I agree to:
Note: Only one travel companion may travel for free with the applicant. The travel companion is only entitled to travel for free when accompanying the applicant.
I hereby acknowledge that I have read and agreed to the text on the use of personal information entitled INFORMATION UNDER THE ACT RESPECTING ACCESS TO DOCUMENTS HELD BY PUBLIC BODIES AND THE PROTECTION OF PERSONAL INFORMATION (CQLR c A-2.1) at section 7 of this document.
And I declare that, to the best of my knowledge, the information provided on this form is accurate and complete.
The OPUS card entitling me to a free travel companion on the regular network is issued by one of the following public transit organizations in Greater Montréal, in cooperation with the Autorité régionale de transport métropolitain (ARTM).
Send your request to one of the Greater Montréal area’s public transit agencies:
It may take up to eight weeks to process your request.
INFORMATION UNDER THE ACT RESPECTING ACCESS TO DOCUMENTS HELD BY PUBLIC BODIES AND THE PROTECTION OF PERSONAL INFORMATION (CQLR, c A 2.1)
To do this, a written request proving the requester’s identity must be sent, where applicable, to the access to information officer of the relevant PTO at the corresponding address in section 6 of this form (if the request is addressed to exo, RTL or STL), or to the Société de transport de Montréal (STM), which is responsible for operating the integrated system, and only for the personal information recorded therein, at the following address: 800 De La Gauchetière Street West, Suite 1170, Montréal, Quebec H5A 1J6.