Bike Share For All Application

Bike Share For All Application
The City of Long Beach's Bike Share For All program provides eligible community members access to Long Beach Bike Share for $5 per year. Please submit the following application, including proof of enrollment in one of the listed eligible assistance programs, below. Once your application is submitted, you can expect a response within 2-3 days.

More info about Bike Share For All here: https://bit.ly/LBBSFA

Please reach out to LB Bike Share Customer Service at 562-570-3456 or LBBikeShare@longbeach.gov with any questions.
Basic Information
Your Name*

First NameLast Name
Your Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Your Email Address*
example@example.com
Your Phone Number*
Please enter a valid phone number.
Verification of eligibility
Type of Verification Document:*

Long Beach Utility AssistanceAffordable Connectivity Program (ACP)Cal Grants / State Financial AidCalifornia Alternate Rates for Energy (CARE) ProgramHead Start ProgramHousing Choice Voucher Program (Section 8)Lifeline ProgramMedi-Cal / MedicaidMedicareNational School Lunch Program (NSLP)Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)Social Security Disability Insurance (SSDI) ProgramSupplemental Security Income (SSI) ProgramSupplemental Nutrition Assistance Program (SNAP) / CalFresh / Electronic Benefits Transfer (EBT)Temporary Assistance for Needy Families (TANF) ProgramVeterans Pension and Survivors Benefit
Upload an image or PDF of the document*

This document is only shared with the Long Beach Bike Share team.
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Long Beach Bike Share Account

Below, we have some questions that will help us determine how to best support you in your application process. If you do not have a smartphone, we can provide access using a tap card. If you need to pay with cash or pick up a tap card, you will need to schedule an in-person appointment in Downtown Long Beach. Our team will follow up with you to schedule this appointment.
Do you have a debit or credit card you intend to use to sign up for the program?*

Yes, I have a debit or credit card that I will use to sign up.No, I do not have a debit or credit card and will need to sign up with cash in person.
The Long Beach Bike Share system primarily uses a smartphone app and your smartphone's camera to unlock bicycles. Do you have a smartphone with a functioning camera to use for this system?*

Yes, I have a smartphone with a functioning camera that I will use to unlock bicycles.No, I will need to use another method of unlocking the bicycles because I do not have a smartphone.Something else (explain below)
Feel free to provide any other information that may be relevant to your application:
I verify that I am at least 18 years of age and the information submitted in this form is accurate and true. I also agree that the Long Beach Bike Share team and/or City of Long Beach may contact me using the information I provided here.*

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Bike Share For All Application

Basic Information

Verification of eligibility

Long Beach Bike Share Account