Washington Metropolitan Area Transit Authority
SmartBenefits Commuter Benefits Program
SmartBenefits Enrollment Application for Businesses
Customer Information
Business Name
Business Address
Business Address
City
State
[
,
AK - ALASKA
,
AL - ALABAMA
,
AR - ARKANSAS
,
AZ - ARIZONA
,
CA - CALIFORNIA
,
CO - COLORADO
,
CT - CONNECTICUT
,
DC - DISTRICT OF COLUMBIA
,
DE - DELAWARE
,
FL - FLORIDA
,
GA - GEORGIA
,
HI - HAWAII
,
IA - IOWA
,
ID - IDAHO
,
IL - ILLINOIS
,
IN - INDIANA
,
KS - KANSAS
,
KY - KENTUCKY
,
LA - LOUISIANA
,
MA - MASSACHUSETTS
,
MD - MARYLAND
,
ME - MAINE
,
MI - MICHIGAN
,
MN - MINNESOTA
,
MO - MISSOURI
,
MS - MISSISSIPPI
,
MT - MONTANA
,
NC - NORTH CAROLINA
,
ND - NORTH DAKOTA
,
NE - NEBRASKA
,
NH - NEW HAMPSHIRE
,
NJ - NEW JERSEY
,
NM - NEW MEXICO
,
NV - NEVADA
,
NY - NEW YORK
,
OH - OHIO
,
OK - OKLAHOMA
,
OR - OREGON
,
PA - PENNSYLVANIA
,
PR - PUERTO RICO
,
RI - RHODE ISLAND
,
SC - SOUTH CAROLINA
,
SD - SOUTH DAKOTA
,
TN - TENNESSEE
,
TX - TEXAS
,
UT - UTAH
,
VA - VIRGINIA
,
VT - VERMONT
,
WA - WASHINGTON
,
WI - WISCONSIN
,
WV - WEST VIRGINIA
,
WY - WYOMING
]
Zip
Contact Person
Phone
Email
Billing Address (if different from business address)
Address
Address
City
State
[
,
AK - ALASKA
,
AL - ALABAMA
,
AR - ARKANSAS
,
AZ - ARIZONA
,
CA - CALIFORNIA
,
CO - COLORADO
,
CT - CONNECTICUT
,
DC - DISTRICT OF COLUMBIA
,
DE - DELAWARE
,
FL - FLORIDA
,
GA - GEORGIA
,
HI - HAWAII
,
IA - IOWA
,
ID - IDAHO
,
IL - ILLINOIS
,
IN - INDIANA
,
KS - KANSAS
,
KY - KENTUCKY
,
LA - LOUISIANA
,
MA - MASSACHUSETTS
,
MD - MARYLAND
,
ME - MAINE
,
MI - MICHIGAN
,
MN - MINNESOTA
,
MO - MISSOURI
,
MS - MISSISSIPPI
,
MT - MONTANA
,
NC - NORTH CAROLINA
,
ND - NORTH DAKOTA
,
NE - NEBRASKA
,
NH - NEW HAMPSHIRE
,
NJ - NEW JERSEY
,
NM - NEW MEXICO
,
NV - NEVADA
,
NY - NEW YORK
,
OH - OHIO
,
OK - OKLAHOMA
,
OR - OREGON
,
PA - PENNSYLVANIA
,
PR - PUERTO RICO
,
RI - RHODE ISLAND
,
SC - SOUTH CAROLINA
,
SD - SOUTH DAKOTA
,
TN - TENNESSEE
,
TX - TEXAS
,
UT - UTAH
,
VA - VIRGINIA
,
VT - VERMONT
,
WA - WASHINGTON
,
WI - WISCONSIN
,
WV - WEST VIRGINIA
,
WY - WYOMING
]
Zip
Contact Person
Phone
Email
Business Type
Private Sector
Federal Govt
Non-Profit
Other Govt
Third Party
Do you need to comply with DC's Commuter Benefits law?
Yes
No
Where did you hear about us?
[
,
smartBenefits.com
,
My Employees
,
Metrorail Ad
,
Metrobus Ad
,
Social Media
,
Radio
,
Magazine
,
Other
]
This account is for:
Employees
Non-Employees
Employee Benefit Information
Approximate Number of Employees
Have you been working with a SmartBenefits Account Executive?
[
,
NO
,
AL WATSON
,
ANTOINETTE RUCKER
,
JANIECE TIMMONS
]
Method Of Payment
ACH - WMATA Originated -
(Recommended) Authorizes WMATA (Metro) to automatically draw the payment for your order each month from your designated bank account.Take advantage of this convenient process and complete your enrollment by returning the authorization form we email to you. Customer must inform their financial institution that WMATA is authorized to debit their bank account to ensure successful payment.
ACH - Customer Originated -
You manually perform an electronic funds transfer each month from your bank to WMATA's bank.
Customer-Originated EFT (Electronic Funds Transfer)
The Washington Metropolitan Area Transit Authority (WMATA) has entered into an agreement with the customer designated below (Customer) under which said Customer will facilitate the electronic funding transactions for the payment of purchases by Customer of SmartBenefits, SmarTrip cards, or other WMATA fare media (Fare Media) to WMATA. Payments to WMATA for Customer Fare Media purchases will be through the Electronic Funds Transfer (EFT) and normally will be electronically transmitted from the Customer checking account into the WMATA Depository Institution (Depository). Customer agrees not to reverse any EFT transaction without first obtaining WMATA’s written concurrence. Customer further agrees to notify its bank of this agreement.
Full payments are due by the first business day following the 15th of each month and are required to process SmartBenefits purchases for the upcoming month.
The transmission of payment(s) must contain in the addendum record space: customer’s 14-digit SmartBenefits account number. Customers should bring these transactions to the attention of their financial institution to ensure they can pass the addendum record information along with the payment.
I have read and agree to be bound by the disclaimer.
Open Account -
This is for Federal, state, and local government accounts only. An account representative will contact you to make payment arrangements.
Credit Card -
Visa, MasterCard, Discover and American Express are accepted. An account representative will contact you to make payment arrangements. Credit card payments are subject to a 3% convenience fee.
SmartBenefits Terms and Conditions
For Employers
For Non-Employer Providers
By submitting, you agree to be bound by the terms and conditions referenced in this application.
Yes
No
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