Transit/Government Account Application

Transit and government agencies may qualify for free travel in participating Express Lanes when using a properly installed NC Quick Pass Transit sticker associated with an approved account.

To apply, complete the Transit/Government Account Application below. An NC Quick Pass representative will review your submission and contact you regarding the next steps in the enrollment process.

All submitted information is subject to review and approval. Submission does not guarantee acceptance or eligibility.

Transit/Government Account Application

Profile

Agency Information

Agency Name(Required)

Primary Contact

Title

First Name(Required)

Last Name(Required)

County(Required)

Street Address(Required)

Address 2

City(Required)

State(Required)

Zip(Required)

Primary Phone(Required)

Phone Type(Required)

Email Address(Required)

Confirm Email Address(Required)

Opt-in to receive text (SMS) account alerts from NC Quick Pass. Message and data rates may apply.(Required)

Yes, I want to receive text (SMS) account alerts from NC Quick Pass

No, I do not want to receive text (SMS) account alerts from NC Quick Pass

Message frequency varies depending on your account activity. Reply HELP for help or STOP to opt-out. Privacy Policy SMS Disclosure

Confirm mobile phone number(Required)

Personal Identification Number (PIN)(Required)

Provide a four-digit PIN to access your account using the automated telephone system. Please retain for your records.

Secondary Contact

Do you have a secondary contact?(Required)

Yes

Title

Secondary Contact Name(Required)

First Last

Secondary Contact Email Address(Required)

Enter Email Confirm Email

Challenge Question

Please select one of the following questions:(Required)

Answer(Required)

Transponders & Vehicles

NC Quick Pass offers the free NC Quick Pass Transit Account Sticker to fit your travel needs.

List license plate and vehicle information for each transponder being requested. You may not list more vehicles than the number of transponders you are requesting.*

The agency is responsible for keeping account and vehicle information CURRENT at all times.

Add up to 10 vehicles below using the blue (+) symbol to the right.(Required)

License Plate #

State

# of Axles

Year

Make

Model

Add up to 10 vehicles below using the blue (+) symbol to the right.

For more than 10 vehicles, please submit a separate spreadsheet.

Accepted file types: csv, pdf, Max. file size: 500 MB.

Total # of vehicles(Required)

Terms and Conditions

By signing below I agree to comply with the NC Quick Pass Transit Account Terms & Conditions. The latest Terms & Conditions documents can be found at NC Quick Pass Documents and Applications or at request.

I understand that any outstanding balance for tolls, fees and penalties due for prior travel as part of any Bill by Mail invoice in the agency's name must be paid to establishment of an NC Quick Pass Account.

Authorized Signature(Required)

Date(Required)

Comments

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