All applicants must complete Form A1 and the relevant form(s) for your equipment. All six business request forms must be submitted with the application. The Labor Laws Certification form is required if the project is eligible for funding.
Form A1 (PDF, 804KB)
Applicant Information (Complete one form per company)
Form B1 (PDF, 387 KB)
Equipment Information – Heavy Duty Diesel Truck Replacement
Form B2 (PDF, 369 KB)
Two for One Truck Replacement – For Second Truck Only
Form B3 (PDF, 356 KB)
Heavy-Duty Diesel Truck Engine Repower (Small Fleet Only)
Form B4 (PDF, 375 KB)
Three-Way Truck Transaction
Form C1 (PDF, 2.3 MB)
Truck Stop Electrification Infrastructure
Form C2 (PDF, 1.7 MB)
Electric Charging Stations or Hydrogen Fueling Units
Business Request Forms:
Attachment 1 - Business Information Request (PDF, 101KB)
Attachment 2 - Disadvantaged Business Certification (PDF, 42KB)
Attachment 3 - W-9 Request for Taxpayer Identification Number and Certification (PDF, 1.2MB)
Attachment 4 - Withholding Exemption Certificate (PDF, 741KB)
Attachment 5 - Campaign Contribution Disclosure (PDF, 109KB)
Attachment 6 - Certificate Regarding Debarment, Suspension, and Other Responsibility Matters (PDF, 25KB)
Labor Laws Certification (PDF, 43KB)
South Coast Air Quality Management District
21865 Copley Dr, Diamond Bar, CA 91765
909-396-2000
© 2024 South Coast Air Quality Management District