Close Out Form Fields.xlsx

Field Label	Field Selections	Completed By (Autofill or Manual Entry)
Application Number		autofill
Applicant Name	Pre-populated from application info	autofill
Applicant Street Address	Pre-populated from application info	autofill
Applicant City	Pre-populated from application info	autofill
Applicant County	Pre-populated from application info	autofill
Applicant State	Pre-populated from application info	autofill
Applicant Zip	Pre-populated from application info	autofill
Sam.gov UEI	Pre-populated from application info	autofill
EIN	Pre-populated from application info	autofill
School District Prioritized	Pre-populated from application info	autofill
School District Name	Pre-populated from application info	autofill
NCES School District ID	Pre-populated from application info	autofill
Estimated Annual Fuel Use		manual
Estimated Annual Miles Traveled		manual
Bus Remaining Life		manual
NCES School District ID Bus Serves	Pre-populated from application info	Autofill, but editable
New Bus VIN		manual
New Bus manufacturer	Responses from a dropdown are below All American Blue Bird Corporation Collins Bus Corporation Greenpower Motor Company IC Bus (Navistar) Lion Electric Company Micro Bird (Girardin) Roush Cleantech Starcraft Bus Thomas Built Buses Titan Bus Trans Tech Van-Con, Inc. Other (allow a fillable entry)	manual selection
New Bus model		manual
New Bus model year	Autofill from VIN	manual or autofill
EV bus range		manual
Replacement bus fuel type	See dropdown responses below. Biofuels Compressed Natural Gas (CNG) Electric Hydrogen Liquid Natural Gas (LNG) Propane	manual selection
Replacement bus cost		autofill that's editable
Charging or fueling type (actual)	See dropdown responses below. Compressed National Gas (CNG) Electric Level 1 Electric Level 2 Electric DCFC Electric DCFC w/ V2G Liquid Natural Gas (LNG) Propane	manual selection
Charging or fueling pedestal cost (actual)		autofill that's editable
Charging or fueling infrastructure cost w/ installation (actual)		autofill that's editable
Scans of bus and charging invoices		manual upload
Scans of bus and charging proof of delivery		manual upload
Photos of new bus and charging equipment		manual upload
Number of buses received	Autocalculated based on bus table	autofill
Source of additional funding		manual
Amount of additional sources of funding		manual
Amount requested		autofill
Total amount requested	Populated from "Amount requested" for each bus including infrastructure costs	autofill
Photos of Scrapped buses		manual upload
Scrap yard name		manual
Scrap yard address		manual
Scrap yard phone number		manual
Electronic Signature - Authorized Representative		manual
Name for Authorized Representative		autofill
Title - Authorized Representative		autofill
Business Phone Number - Authorized Represenative		manual
Vehicle GVWR (actual)		manual
Business Email - Authorized Represenative		manual or autofill
Applicant Name		autofilled but editable
Applicant Title		autofilled but editable
Applicant Business Phone Number		autofilled but editable
Applicant Business Email		autofilled but editable
Applicant Alternate Name		autofilled but editable
Applicant Alternate Title		autofilled but editable
Applicant Alternate Business Phone Number		autofilled but editable
Applicant Alternate Business Email		autofilled but editable
Note: New bus and infrastructure purchase order information, and old bus information from the payment request form will be autofilled in fields in the close out form.