Honda Retiree:

I Need to Request a Ticket for a Dependent NOT Covered on My Benefits?

The form below is ONLY for the following dependents:

  • STEP CHILDREN OR FOSTER CHILD(REN) (AGE 25 and younger)
  • FOREIGN EXCHANGE STUDENTS
  • ELIGIBLE DEPENDENT(S) COVERED OUTSIDE OF HONDA’S BENEFIT COVERAGE 
  • EXTENDED FAMILY YOU HAVE LEGAL CUSTODY OF (AGE 25 AND YOUNGER)
  • EXPATRIATE/ASSOCIATE ON ASSIGNMENT WHOSE SPOUSE AND/OR DEPENDENT(S) WILL BE ATTENDING WITHOUT THE ASSOCIATE

The form below is NOT for the following dependents:

  • CHILDREN AGE 26 & OLDER
  • STEP CHILDREN OR FOSTER CHILD(REN) (AGE 26 & OLDER)
  • GRANDCHILDREN OR EXTENDED FAMILY YOU DO NOT HAVE LEGAL CUSTODY OF.
  • CONTINGENT ASSOCIATES NEEDING ADDITIONAL DEPENDENT TICKETS. (Contingent associates will only receive a MAX of 4 – $12 dependent tickets, after that you will need to purchase the $30 guest tickets.)

Click the button below if you need to complete the form for additional tickets.

Please see the list (in green) above to determine if you are able to request additional tickets.