Fee Waiver Request

Name*

First Last

Email*

Financial Hardship Description

Please describe the nature of the financial hardship that impedes your ability to afford the one-time $10.00 CLEAR membership application fee.

Affirmation*

I agree the above information is accurate, to the best of my ability and recollection.

I understand that CLEAR will follow up with me via email to update me about my request for a financial hardship fee waiver.

I agree.

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