Green Fleets Preliminary Interest Form
Thank you for your interest in the Green Fleets Program. This brief form helps us determine whether your business may be a good fit for the formal application. Completing this form does not guarantee eligibility, selection, or financial assistance.
Applicant and Business Information
Provide the business name and primary contact information.
Business name
*
Primary contact person
*
First Name
Last Name
Email address
*
example@example.com
Phone number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Where is your business located?
Business address
*
Suite/Unit
*
City
*
State
*
Zip code
*
Business location
*
Within the City of Portland
Outside Portland, but primarily operating within Portland
Outside Portland and primarily operating outside Portland
How long has your business been operating?
*
Please Select
Less than one year
One to two years
More than two years
Other or unique circumstance
Optional explanation for an other or unique circumstance
What products or services does your business provide? Please provide a brief description.
*
Vehicle Background and Use
Does your business currently own or lease a gas- or diesel-powered vehicle used for business operations?
*
Please Select
Yes, the business owns one or more vehicles
Yes, the business leases one or more vehicles
No
Other
Optional explanation (current vehicle status)
What type of vehicle are you interested in replacing or purchasing? Select all that apply.
*
Car or passenger vehicle
Cargo van
Pickup truck
Box truck
Refrigerated vehicle
School bus
Shuttle bus
Specialty service vehicle
Other
Optional description of another vehicle type
How is the current vehicle primarily used? Select all that apply.
*
Local delivery or last-mile delivery
Freight or hauling
Construction or contracting
Mobile services
Passenger transportation
Sales calls or client visits
Utilities or maintenance work
Other
Optional description of other business operations
Approximately how many miles does the vehicle travel on a typical business day?
*
Please Select
Fewer than 50 miles
50-100 miles
101-200 miles
More than 200 miles
Unsure
Where would the electric vehicle typically be parked and charged overnight?
*
Please Select
A property owned by the business
A property leased by the business
The business owner's residence
A shared depot or parking facility
Public charging stations
Other
Program Readiness and Support Needs
Is your business willing and able to complete required training, provide financial and vehicle documentation, contribute toward costs not covered by the program, and participate in ongoing program reporting?
*
Please Select
Yes
Possibly, but additional information or assistance is needed
No
Briefly describe any information or assistance your business may need
Submit
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