Ethanol Infrastructure Grant Program Application

Ethanol Infrastructure Grant Program Application

Please provide the requested station, project, eligibility and authorized signatory details as accurately as possible. All applications are due by October 30, 2026 at 5:00 pm CST.
Station Information

** All information is for internal use only **
Station Name
Station Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Mailing Address (if different)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email Address
example@example.com
Contact Person
Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
Please select which infrastructure program you would like to apply for:
Describe station's proximity to major highways or large population base:
Is station attend or unattended
Hours of Operation
Current or Expected Annual Volume of Fuel Marketed
Current or Expected Annual Volume of E10 Marketed
Station Brand
Total Number of Pumps Currently
Number of Tanks at the Site
Total Number of Blender Pumps After Construction
Location of Fuel Price Signage
Estimated Start Date of Construction

MonthDayYear
Date
Estimated Completion Date of Construction

MonthDayYear
Date
Bid for Total Costs of Installation
Please Upload File of All Bids

Cancelof
Blends Expected to be Offered Afterwards

Other
Project Scope and Eligibility
Describe the work that will be done to install blender pumps, signage and tanks
Are you a local vehicle fleet fuel supplier?
If yes, who?
Are you a local auto dealership fuel supplier?
If yes, who?
Authorized Signatory and Contract Details

** All information is for internal use only **
Authorized contract signatory name
Authorized contract signatory address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Authorized contract signatory phone
Please enter a valid phone number.Format: (000) 000-0000.
Authorized contract signatory email
example@example.com
Complete company name to be placed on contracts
I certify that the information provided in this form is accurate and complete to the best of my knowledge
Questions

Payton Schaneman - Email payton.schaneman@nebraska.gov or call (402) 471-2676
Should be Empty:

Ethanol Infrastructure Grant Program Application

Station Information

Project Scope and Eligibility

Authorized Signatory and Contract Details

Questions