Grantee Information
Grant Number
*
You can find this information in the Grant Agreement. It should be of the form YYYY-XX-518S6.
Grantee Name
*
Please enter the same Grantee Name as listed in your Grant Agreement.
Email
*
Any questions we have about this reimbursement request will be sent to this email. example@example.com
Notes
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ESB Purchase
Reimbursement Request Invoice
*
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This must be on the Grantee letterhead, and must include the Grant Number, and Grantee's Federal Identification Number. A template can be found here.
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Signed final invoice/vehicle purchase order(s)
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This must confirm both the final incremental cost and total vehicle cost paid.
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Proof of payment
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ESB & Charger Summary Table
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For ESBs, please fill in Tab 1 labelled as, "Vehicles." For chargers, please fill out Tab 2 labelled as, "Chargers." The Excel Sheet can be found here.
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Factory build sheet
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This document must clearly confirm the Vehicle Identification Number (VIN) and Gross Vehicle Weight Rating (GVWR).
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Copy of vehicle registration
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This can be a photograph or a scanned document.
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Photographs of the vehicle
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These photographs must show the left side, front side - showing the license plate, VIN tag, and odometer reading.
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Cost breakdown of cost-shared items in an Excel spreadsheet
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Grantee must verify that the total cost share amount and items invoiced are equal to the total project cost. A template can be found here.
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EVSE Installation
Invoices for EVSE Equipment
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MEA requires a paid-in-full invoice from the Electric Vehicle Supply Equipment (EVSE) supplier.
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Invoices for EVSE Installation
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MEA requires a paid-in-full invoice from the EVSE installer. This invoice must be itemized to show the date, name, address, and work completed.
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Photo (s) of Installed EVSE
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Technician Training
Certificate of completion
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Please submit a certificate of completion for each individual technician, up to 6 participants/technicians. Multiple certificates can be uploaded in the above upload box.
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Registration Invoice
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Please submit a registration invoice for the technician training showing the total cost, cost per individual and the number of individuals.
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Feasibility Study/EV Planning
Completed plans and findings
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This could include a Total Cost of Ownership analysis, Fleet Transition Plan, etc.
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Reimbursable Invoices
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Invoices may include requests for proposals, staff member time, etc. Please note: Reimbursement will be for school district staff time only, any third-party/vendor (including project management) staff time will NOT be an eligible cost for reimbursement.
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