Commuter Plan and Subsidy Form

Please read the eligibility information and general guidelines contained on the Commuter Benefits web page before submitting this form to apply for the pre-tax commuter plan and/or subsidy.

First Name

Last Name

CWID

Phone

USF Email

Zip Code

Do you have a USF parking permit or will you be purchasing one for Fall 2019?

Yes, I have a current parking permit

I will be purchasing a permit for Fall 2019

Confirmation Message

By entering my name below I agree that I have read and understand the pre-tax commuter program and USF subsidy eligibility and terms and that I will read and comply with the terms and conditions of Commuter Check Direct (CCD). I agree and certify that orders/products will be used by me only for the purposes of commuting to and from work. I authorize USF to deduct the amount of my order (minus any applicable subsidy) up to the applicable IRS pre-tax limit and any additional post-tax amounts from my paycheck.

Name

Date

Processing

Allow 10 Business Days for Processing.