JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
VW Settlement Funding Feedback Form
Assume Clean Air Act settlement funds are available to assist with replacement of aging diesel-powered trucks, buses and vans in your fleet. Your answers to these questions will help to strategically plan how to disburse these funds. Where possible, your responses will be sent to your nearest Clean Cities coordinator for input into your state's planning. Find your nearest Clean Cities coalition at
cleancities.energy.gov
.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
What county and state do you operate in?
*
Your answer
How many aging diesel units do you operate in your Class 4-7 bus fleet (MY1992-2009)? If not known, provide an estimate or range.
Your answer
How many aging diesel units do you operate in your Class 4-7 white or work truck fleet (MY1992-2009)? If not known, provide an estimate or range.
Your answer
How many aging diesel units do you operate in your other Class 4-8 fleet units (MY1992-2009)? Describe the type of fleet unit (e.g. Class 8 tractor; delivery vans). If number not known, provide an estimate or range.
Your answer
Which of the following would enable you to purchase new equipment to replace aging diesel units?
No change required; our planned replacement/capital budget is sufficient.
A partial subsidy or rebate for qualified purchases.
I would not be able to participate without a full or nearly full subsidy or rebate.
We lease or contract out transportation services and will need to work with our vendor.
Other:
How quickly could you begin to implement a vehicle replacement plan? Select the number of years before you could begin purchases.
Immediately
0
1
2
3
4
5
5 years
Clear selection
If you have considered using alternative fuel in your fleet, does financial support make that more feasible? (e.g. propane, natural gas, electric, biodiesel)
We are already using an alternative fuel.
Maybe, but we need to do some additonal planning.
No. We are happy with gasoline and/or diesel.
Yes!
Other:
Clear selection
Would you use alternative fuel fleet planning assistance?
Yes (provide your contact information in "other" below)
No
Maybe (explain in "Other" below)
Other:
Do you buy vehicles off local and/or state government contracts?
Yes
No
We can't
Other:
Clear selection
Would you use an aggregated or cooperative purchasing contract if it were available to you? Write in your contact information, if so.
Yes
No
Maybe
Other:
Additional comments or questions. (If questions, please provide return contact information).
Your answer
transforming energy use in Mid-America since 1983
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report