DC Bridge Bucks Enrollment Form

Complete the form below and submit electronically.
Fax driver’s license to 571-366-1738

First Name:

Last Name:

Email Address:

Home Address:

Home City:

Home State:

Home Zip:

Company:

Work Address:

Work City:

Work State:

Work Zip:

Daytime Phone:

Work Phone:

Cell Phone:

Route Traveled to work (indicate the streets you drive on to arrive at work)

Route Traveled from work

Do you currently rideshare or use transit to travel to and from work? Yes : No

If so, what mode of transit do you use?

How did you hear about the DDOT Bridge Bucks Program?


Once your application and driver’s license are received, your application will go through the approval process.

Upon approval:
A Bridge Bucks team member will contact you at the telephone number provided on your application to discuss which transit option(s) best meet your needs.

DC Bridge Bucks Program
64 New York Avenue, N.E. Washington, DC 20005 Ph 866-922-8257 Fax 571-366-1738 http://ddot.dc.gov