Select Your Plan Year
Which Plan Year Are You Submitting For?
Plan Year |
July 1, 2018 - June 30, 2019 (FY18-19)
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Points Of Contact
Mailing Address (All correspondence will go to this address)
Name of Recipient |
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Mailing Address (Street, Suite, City, State, Zip) |
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Employee Transportation Coordinator (ETC)
ETC Name |
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ETC Title |
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ETC Email |
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ETC Phone |
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Best way to reach me |
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Please upload a scanned copy of your ETC certification |
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Who provided the ETC certification? |
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Date of ETC Certification |
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Highest Ranking Official
Highest Ranking Official Name |
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Highest Ranking Official Title |
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Highest Ranking Official Email |
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Highest Ranking Official Phone |
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Worksite Information
Overview
Which industry best describes your organization? |
Automobile
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How many total employees do you have for all worksites? |
72
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Worksite #1
Business Name |
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Site ID |
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Address (Street, Suite, City, Zip) |
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How many employees work at this location? |
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How many of the employees working at this location live in Santa Monica? |
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Add another worksite
Would you like to add a second worksite? |
Yes
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Worksite #2
Business Name |
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Site ID |
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Address (Street, Suite, City, Zip) |
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How many employees work at this location? |
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How many of the employees working at this location live in Santa Monica? |
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Worksite Analysis
Which transit lines stop with in 1/4 mile or 3 blocks from your worksite?
Big Blue Bus |
5, 14
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Metro |
Expo Rail
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Which of these services and amenities are available at your worksite?
Check all that apply |
Uber or Lyft Corporate Account, Electric Vehicle Charging, Locker Rooms or Showers, Bike Lockers or Secure Area, Bike Racks, Bikes Permitted Inside Worksite, Bike Repair Kit, Bike Tire Pump, Transit Pass Sales
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Parking Cash Out Program
Applicability
Do you have 50 or more employees? |
Yes
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Exemptions
You may be exempt if (check all that apply) |
The entire cost of our parking spaces is included in our building lease., We own all of our parking spaces and do not lease additional spaces in the City of Santa Monica., We do not own or lease any parking spaces.
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Parking Details
How many parking spaces does your worksite lease? |
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What is the monthly cost per parking space leased? |
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How much, if at all, do you charge employees for parking? |
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How many employees receive cash in lieu of parking? |
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Survey Set up
Survey Week
Survey Start Date |
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Survey End Date |
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Minimum Survey Response Rate
How many employees arrive or depart in the Morning Commute Window? |
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How many employees arrive or depart in the Evening Commute Window? |
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Average Vehicle Ridership Target
What is your AVR target? |
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Average Vehicle Ridership Results
AVR Attainment
Are both your AM and PM AVR equal to or greater than your AVR target? |
No
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Reduce Vehicle Emissions
How will you reduce your vehicle emissions this year? |
Increase the number of people walking, biking, riding transit and carpooling to work
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Outreach/Education Strategies
Outreach/Education Strategies
Select at least 3 more Outreach/Education Strategies |
Organize a Try Transit or group bike ride event for interested staff, twice per year., Distribute quarterly flyers, announcements, and memos about transportation, Recognize employees who commute without their car in company-wide communication., Host focus groups to discuss increasing sustainable transportation
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Basic Support Strategies
Basic Support Strategies
Select 4 more Basic Support Strategies. |
Flexible Hours, Commute Assistance, Public Transit Introduction
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Guaranteed Ride Home (Mandatory)
How will you provide the Guaranteed Ride Home? |
Company Vehicle, Uber, Lyft, or Similar, Supervisor/Co-Worker
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Do you use Metro's Guaranteed Ride Home Program? |
No
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Flexible Hours
Within how many minutes can employees start/leave from their official shift time? |
15
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Can employees start and/or leave at their own discretion? |
Sometimes
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Commute Assistance
Employer will (check all that apply) |
Organize focus groups or task forces, Assist in identifying park & ride lots, Identify bicycle and pedestrian routes, Provide transit routes, first/last mile connections, and schedule information, Provide follow-up assistance and maintain the commute program
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Public Transit Introduction
Which type of transit pass will you provide your employees? |
Round Trip
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Direct Strategies
Direct Strategies
Select 5 Direct Strategies. |
Transit Pass Program, Secure Bike Parking, Bicycle Program, Free Meals, Auto Services
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Transportation Allowance
How much is the allowance? |
$300.00
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How often is the allowance given? |
Per month
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Describe your transportation allowance program. |
BTAP annual metro passes provided for free
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Transit Pass Program
In which of the following programs are you currently enrolled or intend on enrolling in? |
Metro B-Tap
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Upload proof of enrollment in one of the programs listed above. (E.g. registration documents, email, or receipt.) |
BTAP.pdf
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Secure Bike Parking
Describe the secured bike parking area. |
Choice or office, or 1 of 2 locked chain link storage c
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Bicycle Program
How many trips does the employee need to complete to receive this incentive? |
1
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What kinds of incentives will you offer the bicyclists? |
Tools or Repair Kits, Repair Services, Lockers/Racks/etc.
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What is the average value of your incentives? |
$200.00
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Free Meals
How many trips does the employee need to complete to receive this incentive? |
6
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Meal Vendor(s) |
Varies
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Meal Value |
$500.00
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Frequency Given |
Quarterly
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Auto Services
Auto Service #1 Description |
Free car washes
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Auto Service #1 Value |
$150.00
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Management Commitment
Management Commitment Letter Upload
Discounts
Discounts
Have you reached your AVR Target multiple years in a row? If yes, you get a discount! Select an option from the drop-down menu. |
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Did you pay for a TMO Membership? |
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Feedback
How did we do?
Was this website easy to use? |
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Are the requirements for employers clear? |
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How can we improve? |
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