diff --git a/benefits/eligibility/forms.py b/benefits/eligibility/forms.py
index d66ee506b..d239f213b 100644
--- a/benefits/eligibility/forms.py
+++ b/benefits/eligibility/forms.py
@@ -141,6 +141,35 @@ def clean(self):
             raise forms.ValidationError("reCAPTCHA failed")
 
 
+class CSTAgencyCard(EligibilityVerificationForm):
+    """EligibilityVerification form for the CST Agency Card."""
+
+    def __init__(self, *args, **kwargs):
+        super().__init__(
+            title=_("Agency card information"),
+            headline=_("Let’s find the record of your transit benefit."),
+            blurb=_(
+                "We use the information on your CST Agency Card to find the record of your transit benefit in our system."
+            ),
+            name_label=_("Last Name"),
+            name_placeholder="Hernandez-Demarcos",
+            name_help_text=_(
+                "Please enter your last name the same way it is printed on your card, including capital letters and hyphens."
+            ),
+            sub_label=_("Agency Card number"),
+            sub_help_text=_("This is a 5-digit number on the front and back of your card."),
+            sub_placeholder="12345",
+            name_max_length=255,
+            sub_input_mode="numeric",
+            sub_max_length=5,
+            sub_pattern=r"\d{5}",
+            sub_custom_validity=_("Please enter a 5-digit number."),
+            name_custom_validity=_("Please enter your last name."),
+            *args,
+            **kwargs,
+        )
+
+
 class MSTCourtesyCard(EligibilityVerificationForm):
     """EligibilityVerification form for the MST Courtesy Card."""
 
diff --git a/benefits/locale/en/LC_MESSAGES/django.po b/benefits/locale/en/LC_MESSAGES/django.po
index 9a6d7d1cf..81eeeee2d 100644
--- a/benefits/locale/en/LC_MESSAGES/django.po
+++ b/benefits/locale/en/LC_MESSAGES/django.po
@@ -6,7 +6,7 @@
 msgid ""
 msgstr ""
 "Report-Msgid-Bugs-To: https://github.com/cal-itp/benefits/issues \n"
-"POT-Creation-Date: 2024-07-03 13:26-0700\n"
+"POT-Creation-Date: 2024-07-09 10:43-0700\n"
 "Language: English\n"
 "MIME-Version: 1.0\n"
 "Content-Type: text/plain; charset=UTF-8\n"
@@ -333,7 +333,7 @@ msgid "Let’s find the record of your transit benefit."
 msgstr ""
 
 msgid ""
-"We use the information on your MST Courtesy Card to find the record of your "
+"We use the information on your CST Agency Card to find the record of your "
 "transit benefit in our system."
 msgstr ""
 
@@ -345,7 +345,7 @@ msgid ""
 "including capital letters and hyphens."
 msgstr ""
 
-msgid "Courtesy Card number"
+msgid "Agency Card number"
 msgstr ""
 
 msgid "This is a 5-digit number on the front and back of your card."
@@ -357,6 +357,14 @@ msgstr ""
 msgid "Please enter your last name."
 msgstr ""
 
+msgid ""
+"We use the information on your MST Courtesy Card to find the record of your "
+"transit benefit in our system."
+msgstr ""
+
+msgid "Courtesy Card number"
+msgstr ""
+
 msgid ""
 "We use the information on your SBMTD Reduced Fare Mobility ID card to find "
 "the record of your transit benefit in our system."
diff --git a/benefits/locale/es/LC_MESSAGES/django.po b/benefits/locale/es/LC_MESSAGES/django.po
index 683f20c62..a19111839 100644
--- a/benefits/locale/es/LC_MESSAGES/django.po
+++ b/benefits/locale/es/LC_MESSAGES/django.po
@@ -6,7 +6,7 @@
 msgid ""
 msgstr ""
 "Report-Msgid-Bugs-To: https://github.com/cal-itp/benefits/issues \n"
-"POT-Creation-Date: 2024-07-03 13:26-0700\n"
+"POT-Creation-Date: 2024-07-09 10:43-0700\n"
 "Language: Español\n"
 "MIME-Version: 1.0\n"
 "Content-Type: text/plain; charset=UTF-8\n"
@@ -444,11 +444,11 @@ msgid "Let’s find the record of your transit benefit."
 msgstr "Veamos si podemos confirmar su elegibilidad."
 
 msgid ""
-"We use the information on your MST Courtesy Card to find the record of your "
+"We use the information on your CST Agency Card to find the record of your "
 "transit benefit in our system."
 msgstr ""
-"Usamos la información de su tarjeta de cortesía de MST para confirmar su "
-"elegibilidad en nuestro sistema."
+"Utilizamos la información de su Tarjeta de agencia CST para encontrar el "
+"registro de su beneficio de tránsito en nuestro sistema."
 
 msgid "Last Name"
 msgstr "Apellido"
@@ -460,8 +460,8 @@ msgstr ""
 "Ingrese su apellido de la misma manera que está impreso en su tarjeta, "
 "incluyendo mayúsculas y guiones."
 
-msgid "Courtesy Card number"
-msgstr "Número de tarjeta de cortesía de MST"
+msgid "Agency Card number"
+msgstr "Número de tarjeta de agencia de CST"
 
 msgid "This is a 5-digit number on the front and back of your card."
 msgstr "Este es un número de 5 dígitos en el anverso y reverso de su tarjeta."
@@ -472,6 +472,16 @@ msgstr "Ingrese un número de 5 dígitos."
 msgid "Please enter your last name."
 msgstr "Ingrese su apellido."
 
+msgid ""
+"We use the information on your MST Courtesy Card to find the record of your "
+"transit benefit in our system."
+msgstr ""
+"Usamos la información de su tarjeta de cortesía de MST para confirmar su "
+"elegibilidad en nuestro sistema."
+
+msgid "Courtesy Card number"
+msgstr "Número de tarjeta de cortesía de MST"
+
 msgid ""
 "We use the information on your SBMTD Reduced Fare Mobility ID card to find "
 "the record of your transit benefit in our system."