EPA CLEAN SCHOOL BUS 2024 EPA Clean School Bus Rebate Forms: Application User Guide September 2024 United States Environmental Protection * W -i Agency E PA-420- B-24-045 ------- Table of Contents Before You Begin 4 1. Sign In/Register 5 1.1 Online Rebate Application Information 5 1.2 Applicant Login 5 1.3 Login.gov 5 1.4 Terms of Service and Privacy Policy 6 1.5 Login.gov Account 7 1.6 Create Your Account 8 1.7 Email Confirmation 9 1.8 Confirm Email Address 9 1.9 Create a Password 10 1.10 Continue After Creating a Password 11 1.11 Authentication Methods 12 1.12 Authentication: Phone Number 13 1.13 Authentication: Security Code 14 1.14 Login.gov Account Created 14 2. Create/Edit a New Application 15 2.1 Start a New Application/Dashboard Page 15 2.2 Continue with New Application 16 2.3 Information Icons 16 2.4 Welcome 17 2.5 Edit Your Rebate Application 17 2.5.1 Applicant Info 17 2.6 Data Entry Errors 18 2.7 Saving and Editing Your Information 18 2.8 View Draft and Submitted Applications 19 2.9 Organizations 20 2.10 School District Information 21 2.11 School District Prioritization Information 23 ------- 2.12 Bus and Infrastructure Information 24 2.13 Bus Information Data Entry 24 2.13.1 Existing Bus Information 24 2.13.2 New Bus Information 26 2.13.3 Workforce Development Planning 27 2.14 Signature 28 3. Submission and Review Process 30 3.1 2024 Clean School Bus Rebate Application Help 30 4. Change Request Process 31 4.1 Edit Request 32 4.2 Withdrawal Request 33 Appendix A. Glossary 34 Appendix B. Printable List of Fields 38 41 ------- Before You Begin This guide will walk you through the steps needed to create, edit, submit, and view your 2024 Clean School Bus online rebate application. This guide also includes detailed definitions of key fields found in the online form and a printable list of all fields required in the form. Plan to spend 3 or more hours to complete the application form. You do not need to complete it in one session: you can save the form and come back at any time. (Note that you will be logged out of the form after 15 minutes of inactivity, so plan to save often to avoid loss of entered information.) Follow these steps to prepare to complete the application: 1. Confirm SAM .gov Points of Contact. Confirm that the email of the person that plans to complete the application is registered as a designated Government Business or Electronic Business Point of Contact (POC) in your organization's active SAM.gov entity registration. Otherwise, the person will not be able to access the rebate application system. Click here for more information on SAM.gov POCs. 2. Review the glossary of terms used in the rebate application (see ). 3. Compile all required data. Appendix E provides a printable list of all necessary data fields. 4. Check browser version. Before filling out the rebate application, make sure the web browser version meets or exceeds the following versions: — Chrome 38 — Safari 7.1 — Internet Explorer 11 — Firefox 13 Note: Content headings on the following pages correspond to the sequence of application pages. Ik ------- 1. Sign In/Register The steps below outline the process of registering and/or signing in to the EPA Clean School Bus online forms portal via Login.gov. 1.1 Online Rebate Application Information Access the online rebate application from the Clean School Bus Rebates: Online Application Forms page at https://www.epa.gov/cleanschoolbus/clean-school-bus-rebates-online-application-forms. 1.2 Applicant Login Select "Sign in." United States Environmental Protection !¦! Agency | Search EPA.gov ~ Environmental Topics Laws & Regulations Report a Violation About EPA Clean School Bus Clean School Bus Rebate Forms: Applicant Login CONTACT US Click the Sign in button below to login to the Clean School Bus Rebate Dashboard using Login.gov. Contact Us to ask a question, provide feedback, or report a problem. Ask. Contact EPA EPA Disclaimers Hotlines FOIA Requests 1.3 Login.gov Select "Login." Select a Login Method 0 LOGlN.GOV EPA Gateway is using a credential provider to allow you to sign in to your account safely and securely. If you do not nave an existing Login.gov account, you will be able to create one before you log in. © FAQ @ Help ^ Privacy & Security Notice Discover. Connect. Budget & Performance Contracting EPA www Web Snapshot ------- 1.4 Terms of Service and Privacy Policy Select "Agree" to continue. Select a Login Method J Login.gov ' i PIV Card United States Environmental Protection Agency Terms of Service and Privacy Policy Warning Notice . This warning banner provides privacy and security notices consistent with applicable federal laws, directives, and other federal guidance for accessing this Government system, which includes (1) this computer network, (2) all computers connected to this network, and (3) all devices and storage media attached to this network or to a computer on this network. • This system is provided for Government-authorized use only. • Unauthorised or improper use of this system is prohibited and may result in disciplinary action and/ or civil and criminal penalties. • By using this system, you understand and consent to the following o The Government may monitor, record, and audit your system usage, including usage of personal devices and email systems for official duties or to conduct EPA business. Therefore, you have no reasonable expectation of privacy regarding any communication or data transiting or stored on this system. At any time, and for any lawful Government purpose, the government may monitor, intercept, and search and seize any communication or data transiting or stored on this system, e Any communication or data transiting or stored on this system may be disclosed or used for any lawful Government purpose. :e DISAGREE AGREE ------- 1.5 Logiri.gov Account If you have a Log in. gov account with a POC email address listed in your organization's SAM.gov entity registration, enter that email address and password and select "Sign in," then skip to Step 2: Create/Edit a New Application. Otherwise, select "Create an account." 0LOGIN.GOV SERA ' ; £ o EPA Production is using Login.gov to allow you to sign in to your account safely and securely. Email address ~ Show password Password Create an account Sign in with your government emu[ovee ID < Back to EPA Production Forgot vour password? Security Practices and Privacy Act Statements Privacy Act Statement i3 ------- 1.6 Create Your Account Enter your SAM.gov POC email address, select your language preference, read the Log in. gov rules of use and select the checkbox to accept, and select "Submit." Q LOGIN.GOV V>EPA Create your account Enter your email address Select your email language preference Login.gov allows you to receive your email communication in English, Spanish or French. O English (default) O Espanol O Framjais ~ I read and accept the Login.gov Rules of Use a Submit Cancel Security Practices and Privacv Act Statement £5 Privacy Act Statement PI Ek ------- 1.7 Email Confirmation Check your email. QLOGIN.GOV oERft ' Check your email We sent an email to ¦ with a link to confirm your email address. Follow the link to continue creating your account Didn't receive an email? Resencl Or. use a different email address You can close this window if you're done. 1.8 Confirm Email Address Open the confirmation email from Log in. gov and select "Confirm email address." Q LOGIN.GOV Confirm your email Thanks for submitting your email address. Please click the link below or copy and paste the entire link into your browser. This link will expire in 24 hours Confirm email address ------- 1.9 Create a Password 0 LOGIN.GOV v-,EPA *" ' • © You have confirmed your email address Create a strong password It must be at least 12 characters long and not be a commonly used password. That's it! ~ Show password Password Password strength: Continue Password safety tips + < Cancel account creation ------- 1.10 Continue After Creating a Password Select "Continue" once you have entered a password. ~ LOGIN.GOV oEPA © You have confirmed your email address Create a strong password It must be at least 12 characters long and not be a commonly used password. That's It! Q Show password Password Password strength: Great! Continue Password safety tips + ------- 1.11 Authentication Methods Select one of the five authentication methods, then select "Continue." The following steps in this guide will only walk through the "Text or Voice Message" option, but you can use the option that best suits your needs. 0 LOGIN GOV •S-ERA Authentication method setup Add another layer of secunty by u sing coe of the multi-factor authentication options bslow. <5> Security key A physical device, cfler tnaped like a USB drive, that you ptug in to your device O | | Government Employee ID BV'tAC cards for government and military employees. Desktop on.y ~ Authentication Application Download or use ar> autherfecatMW eao o* your cho»ce to generate secure codes Text or Voice Message Recerve s secure code oy (SMS'i text or phone call to your devsce Do not use wet- based {VO!P!l phoie (Stvces or premium rate (toil) phone numbers Backup Codes A list of 10 cedes you can prrnt or save to your device When you use the last cede, we will generate a new .ist Keep « mind backup codes are easy to lose Continue EEk ------- 1.12 Authentication: Phone Number Enter a phone number, select a preferred delivery method (text or call), and select "Send code." Q LOOIN.GOV SERA Sr Send your security code via text message (SMS) or phone call We'U send you a security code each time you sign in Message and d ata rates may apply- Do r>ot use web-based (VOIP) phone services or premium rate (toilj phone numbers Phone number Example (201) 555-0123 How should we send you a code? You can change this selection the next time you sign in If you entered a landline. ptease select "Phone call" below. O Text message (SMS) O Phone call Mobile terms of servsce Choose another option ------- 1.13 Authentication: Security Code Enter the security code you receive and select "Submit." Select "Remember this browser" if you do not want to enter a security code again. You can optionally add a second authentication method. Q LOGIN.GOV oERft £?=¦ - Enter your security code We sent s security code to 802-299-7367 This coo= wi „ expire in 10 rrrfitttes. Ortt-tifTM cod« ~ Remember this browser 0 Get another code Entered the wrong phone number? LJca grpthg'" C^-Oie ~IL~ - Choose anothgr ogiio*. 1.14 Login.gov Account Created Select "Agree and continue." 0LOGIN.GOV SEPA O A phone was added to your account. You've created an account with Login.gov Well share this inlo*mation with EPA Production: © Email address EPA Production will only use this information to connect to your account Agree and continue ------- 2. Create/Edit a New Application From the Clean School Bus Rebate Forms applicant dashboard webpage, you can create, edit, and submit rebate applications. You can also view already submitted rebate applications, request edits to them, or withdraw them. Note: Your connection to the rebate application system will time out unless you interact with the screen at least once every 15 minutes. "Interacting" can mean entering or deleting information, or even moving your cursor on the screen. If your connection times out, you risk losing data entered since the last save. 2.1 Start; a New Application/Dashboard Page The Dashboard page lists all existing applications by rebate year. To begin a new application, ensure that "2024" is selected from the "Rebate Year" dropdown menu, then click the "New Application" button to begi Note: You can submit a change request for any form that has been submitted already (not in draft form). The change request form allows you to edit or withdraw your application. See Section 4 for more information. Clean School Bus Rebate Forms Clean School Bus Rebate Program Online Rebate Application Information I Sign out £* Rebate Year: 2024 O New Application Your Rebate Forms Select a button below to Edit or View an existing rebate form. • For the 2024 rebate year, you may request edits or a withdrawal by selecting Change Request, Change. • For the 2023 rebate year, you may request edits, an extension, or a withdrawal by selecting Change Request, Change. • For the 2022 rebate year, you may request edits, a withdrawal, or a Close Out Form extension (see Close Out Form webpage) by emailing cleanschoolbusfa'epa.gov. O Form Type © UEI © Applicant © Updated By ©Rebate ID © Form Status © EFT Indicator © School District ©Date Updated © Change Request / Edit Application — Draft 8/15/2024 Change 0 ------- 2.2 Continue with New Application After clicking on "New Application," you will need to select the specific SAM.gov account—denoted by Unique Entity Identifier (UEI), Electronic FundsTransfer (EFT) indicator, and applicant name—to open a new application form from the "Start a New Rebate Application" box. A new application cannot be created if the selected Unique Entity Identifier is subject to an exemption or debt off-set status. Note: Most organizations will only have one UEI and EFT combination, but some may have more than one account from which to choose. For example, an organization may have registered multiple bank accounts in SAM.gov, each with its own EFT Indicator, to receive different funding payments. Therefore, review the specific UEI, EFT, and applicant name options carefully before proceeding: choosing the wrong one could lead to issues and delays throughout the rebate process. Start a New Rebate Application Please select a row (arrow icon) below to begin your rebate form. If you are unsure what UEI, EFT Indicator and Applicant row to select, please verify the correct one in your SAM.gov account before continuing. 6 UEI O EFT Indicator 123456000111 1234 ©Applicant Legal Business Name from SAM.gov for this UEI 2.3 Information Icons Hover your mouse over the information icons found throughout the application pages for more information about specific fields. V Unique Entity Identifier (UEI) © 123456000111 EEk This is your applicant organization's SAM.gov Unique Entity Identifier (UEI) and is automatically filled based on the organization selected when starting this application. ------- 2.4 Welcome Review the text on the Welcome page and select "Next" to proceed. Note: Use of the browser's back, forward, or refresh buttons while in the rebate application will result in loss of work. Please navigate using the "Next," "Previous," and "Save" buttons on the page. To save your work on the form, you must select the "Save" or "Next" button. If there is a "Complete" button on the page, first select "Complete" and then "Save" or "Next" to save your work. You will then be able to return later to finish your application without losing information. To submit your application to EPA, complete all application screens and then sign and submit the form. Your application status is available on the applicant dashboard, and you can view submitted application(s) by selecting the "View" button next the application you want to view. Note: Only Government Business (and alternates) and Electronic Business (and alternates) Points of Contact from SAM.gov can access the dashboard. You and the Primary and/or Alternate Contacts will also receive a submittal email confirmation. EPA will review your application after the application submission period closes. NOTE: Use of the browser back, forward, or refresh buttons will result in loss of work. Please navigate using the buttons at the bottom of the form. 2.5 Edit Your Rebate Application 2.5.1 Applicant Info On the Edit Your Rebate Application page, review the descriptions of different applicant types, then select the correct type using the dropdown menu to identify the type of organization you are representing. If you select any applicant type that is not a private school bus fleet; nonprofit school transportation association; or bus dealer, OEM, or organization that arranges financing for bus purchases, one question about bus ownership will appear below the "ApplieantType" field. School districts requesting to replace a mixed fleet partially owned by the school district and a private fleet or nonprofit school transportation association should answer "yes" to the ownership question and add other bus owners on the Organizations page as described in Section 2.9. Applicant Type Applicant Type© * Public School District Does your organization own the buses to be replaced? * 0 (§) 'es O N° NOTE: Public School Districts, Public Charter Schools, State Governments, and Indian Tribes or Tribal Organizations must either apply to replace buses they own or buses owned and operated by a private fleet. Nonprofit School Transportation Associations and Bus Deolers or Organizations that Arrange Financing for Bus Purchases must either apply to replace buses owned by a school district or buses owned and operated by o private fleet. Private School Bus Fleets can apply directly to replace buses that public school districts, public charter schools, Indian Tribes and tribal organizations own: all private fleet operators must complete the School District Approval Certification and other supplemental documents applicable to their rebate application, as described in the 2024 CSB Rebate Program Guide. School districts are eligible to apply directly, even if they contract out bus service to a private fleet. If selected, the school district could pass funds to the private fleet(s) to replace the buses. If a third party applies on behalf of a school district and is selected for funding, then that third party is the applicant and will receive the funding on behalf of the school district. The school district that is listed on the third-party application cannot switch the third-party applicant and EPA will not send funding to an entity that is not the selected applicont. Eligibility requirements for applicant types are in the 2024 Clean School Bus Rebate Program Guide. Regardless of applicant type, you are required to download, complete, and attach a completed School Board Awareness Certification form. See the help text for allowed file types and sizes. For private bus fleets; nonprofit school transportation associations; and bus dealers, OEMs, and organizations that arrange financing for bus purchases, a prompt will appear to download, complete, and attach the required school district approval letter. See the help text for allowed file types and sizes. ------- In the "Applicant Info" section, all fields are autofilled from SAM.gov data except for county. Complete all primary contact information fields. Entry of alternate contact information is optional, but if you enter an alternate contact, all alternate contact fields must be completed. Once all required fields are complete, click "Next" to continue. Note: Public school districts, public charter schools, state governments, and Indian tribes or tribal organizations must either apply to replace buses they own or buses owned and operated by a private fleet. Nonprofit school transportation associations and bus dealers or organizations that arrange financing for bus purchases must either apply to replace buses owned by a school district or buses owned and operated by a private fleet. Private school bus fleets can apply directly to replace buses that serve public school districts, public charter schools, or Indian tribes and tribal organizations. School districts are eligible to apply directly, even if they contract out bus service to a private fleet. If selected, the school district could pass funds to the private fleet(s) to replace the buses. If a third party applies on behalf of a school district and is selected for funding, then that third party is the applicant and will receive the funding on behalf of the school district. The school district that is listed on the third-party application cannot switch the third-party applicant and EPA will not send funding to an entity that is not the selected applicant. Eligibility requirements for applicant types are in the 2024 Clean School Bus Rebate Program Guide. 2.6 Data Entry Errors If data entry errors are detected (e.g., missing required fields), they will be highlighted for your attention as shown below. Make any required changes before proceeding. Primary Contact Title O' Primary Contact Title is required 2.7 Saving and Editing Your Information You can save your work while filling out the rebate application form and return to it later to finish and submit. Data entered on each page will be saved automatically when the "Next" button is selected. In addition, you can use the "Save" buttons to save information before proceeding to the next page. I® NOTE: Use of the browser back, forward, or refresh buttons will result in loss of work. Please navigate using the buttons at the bottom of the form. ------- 2.8 View Draft and Submitted Applications After saving and exiting the application, you can return to the Dashboard page, open the draft application, and proceed from where you left off. Selecting applications with a "Submitted" status will allow you to view but not edit your entries. You can also click the "Dashboard" button at the top of any page to return to the Dashboard page—but first ensure that you have saved any information you don't want to lose. GEDl O New Application Your Rebate Forms Select a button below to Edit or View an existing rebate form. • For the 2024 rebate year, you may request edits or a withdrawal by selecting Change Request, Change. • For the 2023 rebate year, you may request edits, an extension, or a withdrawal by selecting Change Request, Change. • For the 2022 rebate year, you may request edits, a withdrawal, or a Close Out Form extension (see Close Out Form webpage) by emailing cleanschoolbus@epa.gov. O Rebate ID O Form Type O Form Status O UEI O EFT Indicator O Applicant O School District O Updated By O Date Updated O Change Request Change E Application Submittec^ Change B ------- 2.9 Organizations On the Organizations page, you will enter information on existing bus owners, new bus owners, and private fleets if a private fleet is not the applicant. Read the instructions at the top of the page before beginning data entry. To add an organization, click on the "+ Add Organization" button. Check the boxes for all applicable organization types and enter the organization name. Once you enter all contact and address information, click the "Complete" button. Add any other organizations that are associated with this rebate application by clicking the "+Add Organization" button. If you are returning to this page from the Bus and Infrastructure Information page, click the "Return to Bus & Infrastructure Information Page" button to continue your application. If not, click "Next" to continue. Organizations i # General Information Organization Type * O 3 Existing Bus Owner j ] New Bus Owner 3 Private Fleet Organization Name O * Buses Buses Buses Contact Information Organization Contact First Name© * Organization Contact Business Email © * John jahnCfvbuses.com Organization Contact Last Name© * Organization Contact Business Phone Number©' Smith 1444) 444-4444 Organization Contact Title ©' Manager Address Organization Address 1 ©' Organization City©' 123 Yellow Street ABC City Organization Address 2 © Organization State or Territory ©' x ~ Organization County © * Organization Zip ©' County 12345- Complete +Add Organization Return to Bus & Infrastructure Information Page f} NOTE: Use of the browser back, forward, or refresh buttons will result in loss of work. Please navigate using the buttons at the bottom of the form. Previous ------- 2.10 School District Information This page of the application collects information on the school district the existing buses currently serve and the school district that the new replacement buses will continue to serve for five years from the date of new bus delivery You need to enter the district's National Center for Education Statistics (NCES) District ID, which can be found at https://nces.ed.aov/ccd/districtsearch/. Enter one or more identifiers for your district and select "Search." I r^C *. K I 13 ^ National Center for I LZ.O / IN v [Z.O Education Statistics (Search for Public School Districts CCD District School & District Navigator Pnblk School Search Data Notes/Grant IDs Help Information District Nai |Miami Street Address: - Any State - NCES District ID: SEARC H TIP: If j you are having difficulty finding ¦ErCT'6j 1 your school, try only 1 entering the city: state, and/or a key word in the name. Distance: County: {Btwsri Additional Characteristics District Types: Q regular Q component Q supervisory union Q regional D state D federal Q chatter Q other Number of Students: L Number of Schools || or more v | || or more *• j . SEARCH TIP: Use the I additional characteristics fields in coniunction with any of the District Information- Additional Characteristics should not be used if you have already entered the name of a school district Source: CCD public school district data for the 2020-2021 school ye; Find your district from the school district search results and click on the name. arch for Public School Districts CCD Search Results (records: 17) Modifv Search Data Notes/Grant IDs Help District Name Phone Count} Students Schools Little Miami Local 95 E Us Highway 22 -And 3, Mamevflle, OH 45039 (513)899-22454 Warren County 4.868 6 , MIAMI 26 North Main, Miami, OK "4354 (918)542-8455 Ottawa County 2,109 6 Miami Countv ESC 2000 West Stanfield Road, Troy, OH 453~3 (937)339-5100 Miami Countv 0 0 Miami East Local 3825 N State Route 589, Casstown, OH 45312 (937)335-7505 Miami County 1,329 Miami Eleni 400 New Miami Lane, Conrad. MT 59425 (406)4^2-3350 Pondera County 36 1 : MLAMIISD P O BOX 36S, MIAML TX "9059 (806)S6S-3971 Roberts County- 195 1 MIAMI R-I "638 NW STATE ROUTE J, AMORET, MO 64"22 (660)267-3484 Bate: County ISO 2 MLAMI R-I 34520 N HIGHWAY 41, MIAML MO 65344 (660)S52-32tf? Saline County 60 1 Miami Trace Local 3818 State Rome 41 NW, Washington Court House. OH 43160 (740)335-3010 Fayette County 2,531 3 Miami Unified District (4211) PO BOX 2070, MLAMI, AZ 85539 (928)425-3271 Gila County 939 5 Miami Vallev Academies 5656 Springboro Pike, Dayton, OH 45449 (937)294-4522 Montgomery Countv 125 1 Miami Vallev Career Tech 6S00 Hoke Rd, Englewood, OH 45315 (93T)S37-7781 Montgomery Countv 0 2 MIAMI-DADE 1450 NE 2ND AVE = 912, MIAMI, FL 33132 Miami- Yoder Joint District No. 60 of the counties of El Pas 420 5 RUSH RD, RUSH, CO EG S33 (719)478-2206 El Paso County Miamisburg City 540 E. Park Ave, Miamisburg, OH 45342 Source: CCD public school district data for the 2020-2021 school year M ------- (Search for Public School Districts PpR Common Core of Data District Director^7 Information Search Results Modify Search Data Notes/Grant IDs Help (2020-2021 school year) District Name: MIAMI-DADE | schools for this district Mailing Address: 1450 NE 2nd Ave# 912 Miami, FL 33132-1308 Type: Local school district Supervisory Union #: N/A Website: http: www-dade5chQols.net District Details (2020-2021 school year, Fiscal data from 2018-2019) Characteristics Staff Fiscal NCES District ID: 1200390 Physical Address: '' 1450 NE 2nd Ave ± 912 Miami. FL33132-130S Status: Open State District ID: FL-13 Total Schools: 516 Grade Span: (grades PK -12) |PK[KG| 1 | 2 | 3 | 4 | 5 | 6 | 7 | S | 9 |10| lTflJ] District Demographics: School District Demographic Dashboard Count)*: Miami-dade County Locale: Suburb: Large (21) Counts ID: 120S6 Total Students: 334.261 Classroom Teachers (FTE): 16.758.00 Student/Teacher Ratio: 19.95 vnnrc Your seven-character NCES District ID will be displayed at the top of the district information summary page Return to the rebate form and enter your NCES District ID; double check to confirm that you've entered the correct NCES District ID since the district listed on the application will be the district where new replacement buses are expected to serve if the application is selected for funding. Most of the fields in the School District General Information section will then be autofilled. Click the "Edit NCES District ID" button if you need to edit the ID. In some cases, you may need to fill in information manually because it is not available from NCES. The form will highlight any required fields that are not filled out. School District Lookup National Center for Education Statistics (NCES) District ID © * Note: You can lookup the NCES District ID here. https./Znces. ed. aov/ccd/distrietsearc School District General Information School District Name * City* Physical Address Line 1 * State or Territory* Physical Address Line 2 Zip Code * Edit NCES District ID ------- 2.11 School District Prioritization Information Most school districts will be automatically identified with their prioritization status as "Yes" or "No" in the "Prioritized" field. If a school district's prioritization status is "Yes," the applicable reasons (high need, tribal, and/or rural) will be automatically checked. However, in some cases, as shown in the screenshot below, the "Prioritized" field will display "Self-Certify'.' If it does, the applicant must select which self-certifying criterion allows them to be eligible for high-need prioritization from the dropdown list in the "Are you self-certifying as prioritized?" field. See the Prioritization Self-Certification Instructions for more details. Use the table below to identify which self-certifying option to choose from the "Are you self-certifying as prioritized?" dropdown list. Applicants who are self-certifying must provide documentation to verify their certification of Title I funding. See the help text for allowed file types and sizes. Categories from the Prioritization Self-Certification Instructions Self-Certify Dropdown Option to Choose Category 1: Public school district not represented in SAIPE Yes, not represented in the 2022 SAIPE dataset and receive Title I funding. Category 2a: Large public school district, whole school district Yes, a large school district with 80% or more of schools receiving Title I funding. Category 2b: Large public school district, sub-group of schools Yes, a large school district with a sub-group of schools receiving Title I funding. Neither Category 1 nor Category 2 No, the school district does not meet the criteria to self-certify as prioritized. Complete the "School District Contact Information" section by entering the contact information for a representative of the school district and clicking "Next" to continue. School District Prioritization Information Prioritized © Are you self-certifying as prioritized? 0' Self-Certify = Priority Reason Select the appropriate self-certifying category [~| High Need Q Tribal Q J Rural 'lease upload approved Self-Certifying Documents 0 Allowed file types: *.pdf, ".png, ".jpeg. ".jpg File Name Size Drop files to attach, or browse Allowed file types; *.pdf, "prig. ".jpeg, *.jpg Minimum file size: 1KB Maximum file size: 5MB This field is required to landatory to complete the Application Form but is amplete and save the bus information. School District Contact Information First Name 0' Busi ness Phone N umber 0' (A NOTE: Use of the browser back, forward, or refresh buttons will result in loss of work Please navigate using the buttons at the bottom of the form. ------- 2.12 Bus arid Infrastructure Information Use this page to enter information on the exisiting and new buses. Please review the following note at the top of the page: Mote: Before entering existing and new bus information, be sure to review the bus and infrastructure eligibility requirements in Section 3 of the 2024 Clean School Bus Rebate Program Guide posted at https://www.epa. aov/cleanschoolbus/clean-school-bus-proaram-rebates#support. You can enter information for up to 50 existing buses to be replaced and 50 new replacement buses. 2.13 Bus Information Data Entry 2.13.1 Existing Bus Information Click the "+Add Bus" button to begin data entry. ^^of6 Bus and Infrastructure Info IO Note: Before entering existing and new bus information, be sure to review the bus and infrastructure eligibility requirements in Section 3 of the CSB Rebate Program Guide posted here: https://www.eoa.aov/cleanschoolbus/school-bus-rebates-clean-school- bus-proaromt?support. You can enter information for up to 50 existing buses to be replaced and 50 new replacement buses. ' denotes required field Bus and Infrastructure Information You must complete all the fields in the "Existing Bus Information" section using the data entry boxes and dropdown lists. Choose the existing bus owner from the dropdown list of organizations you entered on the Organizations page or that were added from the Applicant info or School District Info pages. If the existing bus owner does not appear in the dropdown list, return to the Organizations page to add it. You can also complete and save the remaining fields on this page and add the new organization later. ------- Bus and infrastructure Information BUS*© Existing Bus Information Existing Bus Owner© Org Namer Buses Buses Buses | Contact Name: John Smith This field is mandatary to complete the Application Form but is not required to complete and savethe bus information. Existing BusVIN©* lllllllllllllllll Existi ng Bus Fuel Type © ' Existing BusGVWR© ' Existing Bus Odometer©' Existing Bus Model ©' Existing Bus Model Year© ' Existing Bus NCES District ID ©' Existing Bus Manufacturer ©" Existing Bus Manufacturer {Other! ©' Yellow Bus Company Existing Bus Average Annual Fuel Consumption © * Existing Bus Average Annual Mileage© ' Estimated Remaining Life ©" Existing Bus Annual Idling Hours ©' Existing Bus Title© File Kame X Screenshot l.png Allowed file types: *.pdf, *.png, ".jpeg. *-jpg Minimum file size: 1KB Maximum file size: 5MB This field is mandatory to complete the Application Form but is not required to complete and save the bus information. Check that the Vehicle Identification Number (VIN) you enter is accurate and has exactly 17 alphanumeric characters. Hover your mouse over the information icons for specific instructions on each of the remaining existing bus fields. If you are entering data for a diesel or non-diesel bus with a model year of 2011 or newer, you will be asked to certify (see text box below) that you do not have any 2010 model year or older diesel buses to replace. Existing Bus GVWR G * Existing Bus Model Year Q * 50,000 lbs 2012 A If you have model year 2010 or older diesel buses, then those must be replaced first. Gasoline, CNG, and propane buses and model year 2011 or newer diesel buses can only be replaced if no model year 2010 or older diesel buses are available for replacement. Please note, the existing bus entered can only be replaced with a zero-emission school bus. ~ Have No 2010 or Older Diesel Buses to Replace * Attach a file with a scan of the title for each existing bus to be replaced using the drag-and-drop feature or "browse" link. Allowed file types are *.pdf, *.png, *.jpeg, and *.jpg. Files must have a minimum file size of 1 KB and a maximum file size of 5MB to upload. ------- 2.13.2 New Bus Information Next, complete the "New Bus Information" fields. Select the new bus owner from the dropdown list of organizations you entered on the Organizations page. If the new bus owner does not appear in the dropdown list, please add it on the Organizations page. You can also complete and save the remaining fields on this page and add the new organization later. The next three fields determine the rebate amount you are eligible for. Select the new bus fuel type from the dropdown menu, enter the new bus Gross Vehicle Weight Rating (GWVR), and check the box if the new bus is equipped with an Americans with Disabilities Act (ADA)-compliant wheelchair lift. Once these three fields are complete, the replacement bus and infrastructure rebate amount requested, ADA-compliant bus rebate requested (if applicable), and combined replacement bus and infrastructure rebate amount requested will appear to the right. New buses that are equipped with an ADA-compliant wheelchair lift will receive up to an additional $20,000 in rebate funds. Replacement buses going to school districts that are located in certain locations, such as some U.S. territories, will receive an additional rebate amount of up to $20,000 for shipping costs. This amount will appear in the "Bus Shipping Cost Rebate Requested" field. New Bus Information New Bus Owner© Org Name: Contact Name: Jenny Malone This Field is mandatory to complete the Application Form but is not required to complete and save the bus information. New Bus Fuel Type © * New Bus GVWR © * Replacement Bus and Infrastructure Rebate Amount Requested © $170,000.00 ADA-Compliant Bus Rebate Requested $20,000.00 jk Combined Replacement Bus and Infrastructure Rebate Amount 1 Replacement Bus Equipped with ADA-Compliant Wheelchair Lift Requested © © $190,000.00 Complete Fuel types that can be selected for new replacement buses may be limited based on the vehicle model year and fuel type entered for the existing bus to be replaced. See bus eligibility requirements in Section 3 of the 2024 Clean School Bus Rebate Program Guide, posted at https://www.epa.aov/cleanschoolbus/clean-school- bus-proaram-rebates#support. Click the "Complete" button to save the information for each individual bus replacement. If missing or out of range values are detected, they will be highlighted for your attention. Make any required changes and click "Complete" before proceeding. Note: When you click "Complete" the form temporarily holds the bus information, but does not save it. You must click the "Save" button at the bottom of the page after completing the bus information fields to save them. ------- Click on the "+Add Bus" button to add additional buses. You can enter information for up to 50 existing buses and their corresponding replacement buses. Once all the bus information is added, applicants must download, complete and submit the Electric Utility PartnershipTemplate if electric replacement buses are requested. Please upload the Electric Utility Partnership Template beneath "Proof of Utility Contact" as shown in the screenshot below. If organizations need to be added, click on the "Return to Organization Entry" button. Utility Partnership Template Download, complete and attach the Utility Partnership Template. The application will be rejected if the Utility Partnership Template is incomplete. Proof of Utility Contact © File Name Size Ok Drop files to attach, or browse Allowed file types: *.pdf, *.png, *.jpeg, *.jpg Minimum file size: 1KB Maximum file size: 5MB This field is mandatory to complete the Application Form but is not required to complete and save the bus information. 2.13.3 Workforce Development Planning In this section, read and check the boxes to acknowledge that you are aware of the workforce development planning terms and conditions and the electrician training requirement as detailed in the 2024 Clean School Bus Rebate Program Guide at https://www.epa.aov/cleanschoolbus/clean-school-bus-proararn- rebates#support. Workforce Development Q| Workforce Development Planning -1 acknowledge that I am aware of the importance of workforce development planning and will use the resources available on the EPA Clean School Bus Program website to plan accordingly. * Electrician Training Requirement -1 acknowledge that I am aware that electricians must have a certification of training, as detailed in the 2024 Clean School Bus Rebate Program Guide, to install, operate or maintain Electric Vehicle Supply Equipment (EVSE). * The total number of buses requested and total combined bus and infrastructure rebate amount requested are displayed at the bottom of the page. The total combined bus and infrastructure rebate amount requested is the sum of all requested replacement buses; it includes the replacement bus and infrastructure rebate amount requested, and if applicable, the total bus and infrastructure shipping cost rebate requested and the total ADA- compliant bus rebate requested. A bus shipping cost rebate of up to $20,000 per bus is automatically granted to applicants outside the continental United States. If no electric replacement buses were requested, then this requested rebate does not include funding for infrastructure. Click the "Next" button to continue to the Signature page. ------- Bus and Infrastructure Summary Number of Buses Requested (Application) 1 Total Replacement Bus and Infrastructure Rebate Amount Requested © $325,000.00 Total Bus and Infrastructure Shipping Total ADA-Compliant Bus Rebate Cost Rebate Requested Requested $20,000.00 $20,000.00 Total Combined Replacement Bus and Infrastructure Rebate Amount Requested © $365,000.00 O NOTE: Use of the browser back, forward, or refresh buttons will result in loss of work. Please navigate using the buttons at the bottom of the form. 2.14 Signature The summary of the total combined replacement bus and infrastructure rebate amount requested Is shown at the top of the Signature page. Qof6 Signature * denotes required field Summary Total Replacement Bus and Infrastructure Rebate Amount Requested $325,000.00 Total Bus and Infrastructure Shipping Total ADA-Compliant Bus Rebate Cost Rebate Requested Requested $20,000.00 $20,000.00 Total Combined Replacement Bus and Infrastructure Rebate Amount Requested © $365,000.00 To complete your application, you must read and agree to the certification statement on this page, sign, and check the box to confirm signature. The "Name" and "Title" fields on this page are autofilied for the person who initiated the form based on their SAM.aov POC information. If a different user wants to sign and submit the form, they must also be a SAM, gov POC for your organization and will need to use Login.gov to enter the Clean School Bus Rebate Forms applicant dashboard webpage to complete the application that was saved as a draft. In this case, they must edit the "Name" and "Title" fields to show their own full name and title before signing and submitting. When you are ready to submit the form, click "Submit Form." You may want to use the "Previous" button to review the entirety of the application before submission. The submitter, the primary and alternate applicant contacts, and any other authorized SAM.gov contacts will receive an email confirming receipt of the submission with an application number. Please save this information in case you need to contact EPA to revise your submission. ------- Sign the form by using your mouse cursor as a pen. Once you submit this application form you will receive an email confirmation and the applicant dashboard will show "submitted" as the status. The Primary and Alternate applicant contacts and any other authorized SAM.gov contacts will also receive confirmation emails. Please contact the CSB helpdesk at cleanschoolbus@epa.gov if you have any questions or if you do not receive an email confirmation after successfully submitting the application form Name© * Title©* Electronic Signature of Authorized Representative * Sign above NOTE: Use of the browser back, forward, or refresh buttons will result in loss of work. Please navigate using the buttons at the bottom of the form. | | I confirm I have provided my signature above * I® ------- 3. Submission and Review Process Once you submit your rebate application, a record summarizing your application details will appear on the Clean School Bus Rebate Forms applicant dashboard webpage, including the applicant name, school district, the email of the last person who edited/submitted the form, the date of the last update, and the submission status (draft or submitted). A SAM.gov point of contact can reopen, edit, and complete draft applications by clicking the "Edit" button. Submitted applications cannot be edited but can be viewed: click the "View" button on the left side of the page. Clean School Bus Rebate Forms • Clean School Bus Rebate Program • Online Rebate Application Information Rebate Year: 2024 v I Your Rebate Forms Select a button below to Edit or View an existing rebate form. • For the 2024 rebate year, you may request edits or a withdrawal by selecting Change Request, Change. • For the 2023 rebate year, you may request edits, an extension, or a withdrawal by selecting Change Request, Change. • For the 2022 rebate year, you may request edits, a withdrawal, or a Close Out Form extension (see Close Out Form webpage) by emailingcleanschoolbustBepa.gov. Sign out C+ O Form Type O UEI O Applicant O Updated By O Form Status O EFT Indicator 6 School District O Date Updated 0 Change Request Application 1 *¦« i; i, —• — —— — Change 0 - Draft *JM » i »- ¦= 8/21/2024 Application •- Draft The primary and alternate applicant contacts and any other authorized SAM.gov contacts will receive a confirmation email after submission. A PDF file containing all the data entered on the application form will be attached to this email for reference. 3.1 2024 Clean School Bus Rebate Application Help If, after submission, you identify errors or other information in your application that require changes, contact the Clean School Bus Program Help Desk at cleanschoolbus@epa.gov for assistance. Make sure to provide the Rebate ID (or Application ID if Rebate ID not available) included in your confirmation email and an explanation of the issue. Note: After submission, EPA will review your application and may contact you for more information. EPA anticipates announcing final award decisions in Spring 2025. If you are contacted for clarifications or corrections, you may be asked to revise and resubmit your application in a timely manner in order to be considered for funding. ------- 4. Change Request Process For 2024 Clean School Bus Rebate forms, you can use the application dashboard to ask EPA to consider certain changes to a submitted application. You can access 2024 rebate forms by choosing the rebate year from the dropdown menu, as shown below. Select "Change" under "Change Request" on the row of the application; a "SubmitYour Change Request" window will appear, showing the "RequestType" field. You can select the type of change request you need from the available actions that appear in the dropdown list. These actions include reopening an application that has been submitted for edits before the application deadline, and requesting a withdrawal of an application that has been submitted. The image of the applicant dashboard below shows the location of the "Change" form. As you submit change requests, they will appear above your forms in a section titled "Your Change Requests." Clean School Bus Rebate Forms Online Rebate Addtication Information A Rebate Year: 2024 O New Application Your Change Requests O Rebate ID O Request Type d Submitted By 66bl3fa214Q65cd5b0clclbd Application Edit Request 8/22/2024 Your Rebate Forms Select a button below to Edit or View an existing rebate form. • For the 2024 rebate year, you may request edits or a withdrawal by selecting Change Request, Change. • For the 2023 rebate year, you may request edits, an extension, or a withdrawal by selecting Change Request, Change. • For the 2022 rebate year, you may request edits, a withdrawal, or a Close Out Form extension (see Close Out Form webpaee) by emailing cleanschoolbus@epa.gov. © Form Type O UEI © Applicant © Updated By O Rebate ID O Form Status © EFT Indicator O School District O Date Updated O Change Request a Application O rK Change 0 ¦BMia - Draft ** ¦ to—Mi Wmm 8/21/2024 Submit Your Change Request Application Form (66bi3fa2i4o65cd5bocicibd) Request Type * Is this a new request for this Request Type for this form? G ' £3 ------- 4.1 Edit Request To make any edits to your submitted application before the application deadline, choose "Edit Request" from the dropdown menu in the "RequestType" field. Choose the reason for your request from the dropdown. If you choose "Other," type your reason in the box provided. Use the dropdown menu to indicate if this is a new edit request for this form.Then provide a detailed explanation for why you are asking to edit the application. Once you have completed the required fields, click the "Submit" button. Note: The EPA will attempt to respond to all requests to edit a submitted application in a timely manner. However, some requests might receive a delayed response, particularly those that come close to the application deadline. You should thoroughly review your initial application submission for accuracy to avoid missing submission deadlines. If the EPA does allow you to edit a submitted application, you will be notified when your application's status is changed back to "draft," at which time an approved POC can open, edit, and resubmit the application. Applications must be resubmitted by the original deadline of January 9, 2025 at 4:00 p.m. Eastern Standard Time to be considered for funding. Submit Your Change Request Application Form (66bi3fa2i4o65cd5bocicibd) Request Type * Edit Request Please indicate the reason(s) for the requested edit. Reason for Request Q * Change in Existing Bus Information Is this a new req uest for this Request Type for this form? ©' Please provide a detailed explanation for why the request is necessary Q* Enter explanation here 1973 characters remaining. Submit ------- 4.2 Withdrawal Request To withdraw your submitted application, choose "Withdrawal Request" from the dropdown menu in the "RequestType" field. Choose the reason for your request from the dropdown. If you choose "Other," type your reason in the box provided. Use the dropdown menu to indicate if this is a new withdrawal request for this form. Then provide a detailed explanation for why you are asking to withdraw the application. Once you have completed the required fields, click the "Submit" button. Applications left in draft status do not need to be withdrawn and will not move forward to the selection process. Note: Withdrawal requests must come from the applicant organization and must attest that all parties involved in the rebate project are aware of the withdrawal request (e.g., the school district is aware of and supportive of the withdrawal request if the rebate applicant is a third party). The EPA will review the withdrawal request and may contact the applicant for additional details; withdrawal requests are considered final and submission of the withdrawal request demonstrates that the applicant and all parties involved in the rebate are aware that the award will be cancelled. Submit Your Change Request Application Form (025164) RequestType * Withdrawal Request Please indicate the reason(s) for the requesting withdrawal. Reason for Request© * Budgeting Issues Is this a new request for this RequestType for this form? © * Please provide a detailed explanation for why the request is necessary© * /£] Note Award Cancellation If after 14 days the user has not rescinded their withdrawal request - the award will be canceled. ------- Appendix A. Glossary This appendix defines terms and abbreviations used throughout the rebate application forms and system screens. Your Rebate Forms Page: Definitions ¦ Rebate ID: Unique ID assigned by EPA to each rebate request ¦ Form Type: Application, Payment Request, or Close Out Form ¦ Form Status: Draft, Edits Requested, Submitted, Withdrawn, Selected, or Not Selected ¦ UEI: Unique Entity Identifier from SAM.gov ¦ EFT Indicator: Electronic FundsTransfer Indicator for the associated bank account from SAM.gov Applicant: Legal business name from SAM.gov for this UEI ¦ School District: School district served by the buses ¦ Updated By: Last person who updated this form ¦ Date Updated: Last date this form was updated ¦ Change Request: Submit a change request to receive an extension, request edits, or withdraw from the rebate program Applicant Info Page: Definitions ¦ ApplicantType—The following definitions of applicant types are provided at the top of the Applicant Info screen. — Public School District: Local governmental entity responsible for: providing school bus service to one or more public school systems, or for the purchase, lease, license, or contract for service of school buses. — Public Charter School: A public charter school district responsible for the purchase, lease, license, or contract for service of school buses for that charter school. — State Government: State governmental entity responsible for: providing school bus service to one or more public school systems, or for the purchase, lease, license, or contract for service of school buses. — Indian Tribe orTribal Organization (Not a School District): An Indian Tribe, Tribal organization, or Tribally-controlled school that is responsible for providing school bus service to one or more Bureau-Funded schools, or for the purchase, lease, license, or contract for service of school buses. — Private School Bus Fleet: A private school bus fleet that provides student transportation services. — Nonprofit School Transportation Association: A nonprofit organization that provides student transportation services. — Bus Dealer, OEM, or Organization that Arranges Financing for Bus Purchases: Third parties that have the capacity to sell, lease, license, or contract for service clean school buses; zero-emission school buses; charging or fueling infrastructure; or other equipment needed to charge, fuel, or maintain clean school buses or zero-emission school buses, to individuals or entities that own, lease, license, or contract for service a school bus or a fleet of school buses, or to arrange financing for such a sale, lease, license, or contract for service. ------- ¦ Does your organization own the buses to be replaced?—If you selected "Private School Bus Fleet"; "Bus Dealer, OEM, or Organization That Arranges Financing for Bus Purchase"; or "Nonprofit School Transportation Association," this question is skipped and an answer of "No" is recorded in your application. ¦ Download and complete the School Board Awareness Certification template. Click on the link to view the file. Once complete, upload the file as a *.pdf, *.png, *.jpeg, or *.jpg. Minimum file size is 1 KB; maximum file size is 5MB. ¦ Download and complete the School District Approval Letter template: If you selected "Private School Bus Fleet"; "Bus Dealer, OEM, or Organization That Arranges Financing for Bus Purchase"; or "Nonprofit School Transportation Association," this prompt will appear. Click on the link to view the file. Once complete, upload the file as a *.pdf, *.png, *.jpeg, or *.jpg. Minimum file size is 1 KB; maximum file size is 5MB. Applicant Organization Name and Address: Your applicant organization's SAM.gov name and physical street address are automatically filled based on the organization chosen when starting this application. ¦ Unique Entity Identifier (UEI): This is your applicant organization's SAM.gov UEI. It is automatically filled based on the organization selected when starting this application. ¦ Electronic Funds Transfer (EFT) Indicator: This is vour SAM.gov EFT Indicator. It is automatically filled based on the organization chosen when starting this application. ¦ Organization County: This is the county where the applicant organization is located. ¦ Applicant Primary Contact Information: The primary contact information for the applicant includes first name, last name, title, business phone number, and email. ¦ Applicant Alternate Contact Information: The alternate contact information for the applicant fields include first name, last name, title, business phone number, and email. Organizations Page: Definitions ¦ Organization Type: You must choose all of the following organization types that apply to your organization: — Existing Bus Owner: All existing bus owners that are not the applicant, or the public school district or public charter school that the existing buses to be replaced serve. — New Bus Owner: All new bus owners (e.g., school districts, nonprofits, private fleets, tribes) that are not the applicant, or the public school district or public charter school that the new buses will serve. — Private Fleet: Any private fleet that is not owned by the applicant. School districts that contract out bus service to multiple private fleets may only submit one application but may list multiple private fleets on the application. ¦ Organization Name, Contact Information, and Address: These fields need to be complete for each existing bus owner, new bus owner, or private fleet. School District Info Page: Definitions ¦ National Center for Education Statistics (NCES) District ID: Enter the seven-character NCES District ID. If you don't have one, contact the help desk at :leanschoolbus@epa.gov. ¦ School District General Information: Name and address of the school district. These fields will be automatically filled based on the NCES ID entered. ------- ¦ Prioritized: Automatically filled as either "yes" or "no" based on whether the school district meets prioritization criteria. If "Self-Certify" is displayed, complete the "Are you self-certifying as prioritized?" field. ¦ Are you self-certifying as prioritized? If you need to self-certify prioritization, choose the appropriate self-certifying category from the dropdown list. This question will not be editable and will be blank if EPA has already determined that the school district is prioritized for funding. Applicants may self- certify that school districts not listed on the Prioritized District List are "low-income" if they fall under one of the two "categories" outlined on the Prioritization Self-Certification Instructions (pdf) and are listed in the "Self-Certifiable Districts" table within the Prioritized School District List (xlsx). (Both of these documents are available at https://www.epa.aov/cleanschoolbus/clean-school-bus-proaram- rebates#suppor.) ¦ Priority Reason: If you chose the appropriate self-certifying category from the dropdown list, this question will appear, but will be automatically filled as "High Need," "Tribal," or "Rural" to match your self-certification selection. ¦ Please upload approved Self-Certifying Documents: Attach a file or scan of the Title I documentation. Allowed file types: *.pdf, *.png, *jpeg, and *.jpg. Minimum file size is 1 KB; maximum file size is 5MB. ¦ School District Contact Information: Enter the school district contact person's name, title, business email, and business phone number. This person may be different from the applicant contact(s). Bus and Infrastructure Info Page: Definitions ¦ Existing Bus Owner: Select the owner of the existing bus to be replaced from the dropdown menu. ¦ Existing Bus Vehicle Identification Number (VIN):The 17-digit VIN of the existing bus to be replaced. ¦ Existing Bus FuelType:The fuel type of the existing bus to be replaced. ¦ Existing Bus Gross Vehicle Weight Rating (GVWR): The estimated GVWR in pounds for the existing bus to be replaced. The GVWR is typically found on the bus VIN plate. ¦ Existing Bus Odometer: Enter the odometer reading of the existing bus to be replaced. If the exact reading is unknown, provide an estimate. ¦ Existing Bus Model: The model name of the existing bus to be replaced. ¦ Existing Bus Model Year: Enter the vehicle model year in YYYY format. Generally, 2010 or older diesel- powered school buses are eligible for replacement; however, see exceptions in the 2024 Clean School Bus Rebate Program Guide. ¦ Existing Bus NCES District ID: The seven-character NCES District ID for the school district the existing bus primarily served during the 2023-2024 school year. EPA strongly encourages third-party applicants to replace existing buses that provided service to the public school district listed on the application, or another school district eligible for priority consideration, as listed in the Prioritized School Districts list found on the 2024 CSB Rebates webpage, if the school district listed on the application was eligible for priority consideration. ¦ Existing Bus Manufacturer: Select the manufacturer of the existing bus to be replaced from the dropdown menu. ¦ Existing Bus Manufacturer (Other): Enter the manufacturer name of the existing bus that will be replaced if it doesn't appear in the selection. ¦ Existing Bus Average Annual Fuel Consumption: The estimated average annual fuel consumption of the existing bus to be replaced over its lifetime. Use gallons; for compressed natural gas (CNG) buses, use diesel gallon equivalent. ------- ¦ Existing Bus Average Annual Mileage: The estimated average annual mileage of the existing bus to be replaced. ¦ Estimated Remaining Life: The estimated remaining service life (in years) of the existing bus to be replaced. ¦ Existing Bus Annual Idling Hours: The estimated annual idling hours for the existing bus to be replaced. ¦ Existing Bus Title: Attach a file or scan of the title for the existing bus. Allowed file types: *.pdf, *.png, *.jpeg, and *.jpg. Minimum file size is 1 KB; maximum file size is 5MB. ¦ New Bus Owner: Select the owner of the new bus from the dropdown menu. ¦ New Bus FuelType: Select "Electric," "CNG," or "Propane" from the dropdown menu. Fuel types that can be chosen for new replacement buses may be limited based on the vehicle model year and fuel type entered for the existing bus to be replaced. See the 2024 Clean School Bus Rebate Program Guide for bus eligibility requirements. ¦ New Bus GVWR: Enter the estimated gross vehicle weight rating in pounds. GVWRs of 26,001 pounds or greater are offered more funding per bus. School bus manufacturers or dealers may be able to help provide a GVWR for new replacement buses. ¦ Replacement Bus Equipped with ADA-Compliant Wheelchair Lift: Select if you plan on the new replacement bus to be equipped with an ADA-compliant wheelchair lift. ADA-compliant buses receive up to an additional $20,000 in rebate funds. ¦ Replacement Bus and Infrastructure Rebate Amount Requested: Autofilied based on the new bus fuel type, new bus GVWR, and prioritization status of the school district per the 2024 Clean School Bus Rebate Program Guide. If the replacement bus is fueled by propane or CNG, this value is only for a bus rebate, as a rebate is not offered for infrastructure costs for CNG and propane buses. ¦ Bus Shipping Cost Rebate Requested: Replacement buses going to school districts that are located in certain locations, such as some U.S. Territories, will receive an additional rebate amount of up to $20,000 for shipping costs. ¦ ADA-Compliant Bus Rebate Requested: An additional $20,000 in rebate funds that cover installation of ADA-compliant wheelchair lifts. ¦ Combined Replacement Bus and Infrastructure Rebate Amount Requested: The sum of the replacement bus and infrastructure rebate amount requested, and, if applicable, bus shipping cost rebate and the ADA-compliant bus rebate requested. The bus shipping cost rebate is up to an additional $20,000 that is added to the combined rebate amount if the applicant is from a state or territory outside the continental United States. The ADA-compliant bus rebate is up to an additional $20,000 that covers the installation of an ADA-compliant wheelchair lift. ¦ Proof of Utility Contact:The Electric Utility PartnershipTemplate must be downloaded, signed, and uploaded. Allowed file types: *.pdf, *.png, *.jpeg, and *.jpg. Minimum file size is 1 KB; maximum file size is 5MB. ¦ Workforce Development Planning: Check the box to acknowledge that you are aware of the importance of workforce development planning and will use the resources available on the EPA Clean School Bus Program website to plan accordingly. ¦ Electrician Training Requirement: Check the box to acknowledge that you are aware that electricians must have a certification of training, as detailed in the 2024 Clean School Bus Rebate Program Guide, to install, operate, or maintain electric vehicle supply equipment (EVSE). ------- Appendix B. Printable List of Fields The rebate application requires some or all of the following information. This list is being provided for your information; however, the application must be submitted using the online dashboard described in this guide. Applicant Information Applicant Type ¦ School District ¦ State Government ¦ Private School Bus Fleet ¦ Nonprofit School Transportation Association ¦ Bus Dealer, OEM, or Organization That Arranges Financing for Bus Purchases ¦ Indian Tribe orTribal Organization (Not a School District) Does your organization own the buses to be replaced? (Yes/No) Are you applying to replace buses owned and operated by a private bus fleet? (Yes/No) File upload: School Board Awareness Certification for private bus fleets; nonprofit school transportation associations; and bus dealers, OEMs, or organizations that arrange financing for bus purchases. (Allowed file types: *.pdf, *.png, *.jpeg, and *.jpg. Minimum file size is 1 KB; maximum file size is 5MB.) File upload: School District Approval Letter for private bus fleets; nonprofit school transportation associations; and bus dealers, OEMs, and organizations that arrange financing for bus purchases. (Allowed file types: *.pdf, *.png, *.jpeg, and *.jpg. Minimum file size is 1 KB; maximum file size is 5MB.) Organization County Applicant Primary Contact Information Primary Contact First Name/Last Name Primary Contact Title Primary Contact Business Phone Number Primary Contact Business Email Applicant Alternate Contact Information Alternate Contact First Name/Last Name Alternate Contact Title Alternate Contact Business Phone Number Alternate Contact Business Email ------- Organization Information Organization Type ¦ Existing Bus Owner ¦ New Bus Owner ¦ Private Fleet Organization Name Organization Primary Contact Information Organization Contact First Name/Last Name Organization Contact Title Organization Contact Business Phone Number Organization Contact Business Email Organization Address Organization Address 1 Organization Address 2 Organization County Organization City Organization State orTerritory Organization ZIP School District Information NCES District ID School District Name* Physical Address* City* State orTerritory* ZIP Code* Prioritized*(Will be automatically filled based on NCES District ID (if available)) Are you self-certifying as prioritized? -Yes, not represented in the 2022 SAIPE dataset and receive Title I funding. -Yes, a large school district with 80% or more of schools receivingTitle I funding. -Yes, a large school district with a sub-group of schools receivingTitle I funding. - No, the school district does not meet the criteria to self-certify as prioritized. File Upload: Self-Certifying Documents. Attach a file or scan of the Title I documentation. (Allowed file types: *.pdf, *.png, *.jpeg, and *.jpg. Minimum file size is 1 KB; maximum file size is 5MB.) ------- School District Contact Information First Name/Last Name Title Business Phone Number Bus and Infrastructure Information Make copies for additional buses if needed Existing Bus Business Email Existing Bus Owner Existing BusVIN Existing Bus Odometer Existing Bus NCES District ID Existing Bus Fuel Type (circle one) Diesel Gasoline CNG Propane Existing Bus Model Existing Bus GVWR Jibs) Existing Bus Average Annual Fuel Consumption _(gallons/yr) Existing Bus Manufacturer Existing Bus Model Year Existing Bus Average Annual Mileage (miles/yr) Estimated Remaining Life Existing Bus Annual Idling Hours File upload: existing bus title. Allowed file types: *.pdf, *.png, *.jpeg, and *.jpg. Minimum file size is 1 KB; maximum file size is 5MB. New Bus New Bus Owner New Bus Fuel Type (circle one) Electric CNG New Bus GVWR (lbs) Propane ¦ Replacement Bus Equipped with ADA-Compliant Wheelchair Lift. File upload: Proof of Utility Contact document (for electric buses only). Allowed file types: *.pdf, *.png, *.jpeg, and *.jpg. Minimum file size is 1 KB; maximum file size is 5MB. ¦ Workforce Development Planning: "I acknowledge that I am aware of the importance of workforce development planning and will use the resources available on the EPA Clean School Bus Program website to plan accordingly." ¦ Electrician Training Requirement (for electric buses only): "I acknowledge that I am aware that electricians must have a certification of training, as detailed in the 2024 Clean School Bus Rebate Program Guide, to install, operate or maintain Electric Vehicle Supply Equipment (EVSE)." ------- |