5900-646 Clean School Bus Close-out Form

Screenshots of Existing Clean School Bus (CSB) Rebate Application Form
The following photos are from the first prototype of the application form which is undergoing active
development. Improved descriptions of fields, autofilling functionality, help text, and more will be added
over the next month. The application form is the first of three forms that EPA will collect for the Clean
School Bus Rebates. The purchase order form and close-out form will be provided to awarded applicants
in a similar online format that will minimize burden by relying, where possible, on existing data
submitted in this application form.
Summary of Changes for Clean School Bus Application Form
1. Checkboxes Related to Funding Amount:
o Cost Share acknowledgement: certification that the applicant will identify other
external funds that offset cost of electric school buses or supporting infrastructure, and
thus is applying for a lower funding amount than eligible for
o American Disabilities Act (ADA) equipment: indicating installation of ADA Equipment by
bus line item
o Shipping bus(es) to non-lower 48 states and territories: indicating funds are needed to
ship one or more buses to non-lower 48 states and territories
2. Partnership Agreements
o Document one (Utility Agreement): acknowledges and certifies utility planning
requirements and coordination
o Document two (School Board Agreement): applicant certifies school board is aware of
the applicant pursuing the new bus project.
o Document two (third party Vendor only): certifies that served school district is aware of
third party applying on behalf of the served school district.
o Labor/Workforce training: (Checkbox) allow applicants to indicate awareness of
program requirements for electrician training and the importance of developing a
workforce development plan
3. Existing Buses to Be Replaced
o Scrappage: checkbox per bus line item to attest to meeting eligibility requirements for
an exception to the scrappage requirement for the CSB Rebate Program.

1

Screenshots of Existing Clean School Bus (CSB) Rebate Application Form

2

Screenshots of Existing Clean School Bus (CSB) Rebate Application Form

3

Screenshots of Existing Clean School Bus (CSB) Rebate Application Form

4

Screenshots of Existing Clean School Bus (CSB) Rebate Application Form

5

Screenshots of Existing Clean School Bus (CSB) Rebate Application Form

6

Screenshots of Existing Clean School Bus (CSB) Rebate Application Form

7

Screenshots of Existing Clean School Bus (CSB) Rebate Application Form

8

Screenshots of Existing Clean School Bus (CSB) Rebate Application Form

9

Screenshots of Existing Clean School Bus (CSB) Rebate Application Form

10