Locomotive Retrofit Program

Application

Application Process

Interested equipment operators can apply for the program either online or by sending in a hard copy application.

To apply online, click the link above. You will need to complete and submit the online forms, and also send required documents by email.

To apply by mail, either download an application packet or request that an application packet be sent to you.

General Application Requirements
Incomplete applications will not be considered.

Complete applications must include the following:

A signed and completed application.
Proof of hour usage over past 12 months.
A copy of proposed quote.
Documentation of tier rating.

Printed applications must be in black or blue ink.

If you need space for additional information, attach additional sheets of paper. Write the owner’s name on each attached sheet and attach to the application.

Company Name*Company Contact*Address*Telephone*Fax*

Company EIN *Authorized Representative*City, State, Zip*Email*

Click on Step 2 above to continue

If applying for more than piece of equipment, please provide the information below for each piece.

Equipment Information

Equipment MakeEquipment Year*

Engine Information

Engine Make*Engine Model Year*Serial #*Fuel Type (Diesel, CNG, LNG, etc.)*

Operational Information

Hours of Operation (2016)*

Proposed Idle Reduction Technology

Make*Vendor Name*Vendor Contact*Vendor Telephone*

Equipment Model*Equipment Serial Number

Engine Model*Horsepower*Engine Family Name*Current EPA Tier*

Average number of hours (per day) equipment spends idling?*

Model*Certification*Proposed Cost*Vendor Email*

Click on Step 3 above to continue

I do hereby certify the following (please read and check each item):

That I have reviewed and understand the application, including this Notice of Obligations, and that all of the information I have submitted is true and correct.That I will make the old equipment available for pre-award inspections and make the equipment available for inspection after the award is made.

Click on Step 4 above to continue

The rebate applicant must complete this form.

I certify that I am the authorized representative of the company applying for the rebate and that the information provided herein is true, accurate and complete to the best of my knowledge and belief.

Name*Title*Date*

All fields in Steps 1-4 must be completed or you will not be able to submit your information

Thank you! Your submission has been received!

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