Vanpool Incentive Application
Complete this form to apply for Commute.org's Vanpool Incentive program.
Please note the following program rules ->
* Vanpool must have seven or more people and be active for a minimum of six consecutive months
* Application must be submitted within one year of joining vanpool
* Riders must submit proof of payment for 3 months of vanpool seat fare
* Drivers must submit proof of the last six months of van operation
* Only out-of-pocket costs are eligible for reimbursement - amount subsidized by employer is not eligible
* All applications must have driver contact information in order to be processed
Applications that are Incomplete or do not meet the program rules will be denied.
Contact the Vanpool Incentive program team at
with any questions.
Street Address (include APT #)
Vanpool starting point (city name)
When did you begin riding/driving in this van?
One-way distance from home to work
41 or more miles
Number of days you ride or drive in the vanpool during a normal work week
In the 3 months prior to joining this vanpool, how did you commute to work?
How did you first hear about this incentive program?
Are you applying for the driver or rider incentive?
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