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? |
Finance
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How many total employees do you have for all worksites in Santa Monica? |
67
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Worksite #1
Business Name |
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DBA 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 |
1, 2, Rapid 10, 14, 16
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Metro |
720 Rapid
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Which of these services and amenities are available at your worksite?
Check all that apply |
Uber or Lyft Corporate Account, Bike Racks, Bikes Permitted Inside Worksite, Bike Tire Pump
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Parking Cash Out Program
Applicability
Do you have 50 or more employees? |
Yes
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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.
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Basic Support Strategies
Basic Support Strategies
Select 4 more Basic Support Strategies. |
Commuter Choice Program, Rideshare Matching Support, Flexible Hours, Commute Assistance, Public Transit Introduction
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Guaranteed Ride Home (Mandatory)
How will you provide the Guaranteed Ride Home? |
Uber, Lyft, or Similar, Taxi, Supervisor/Co-Worker
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Do you use Metro's Guaranteed Ride Home Program? |
No
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Commuter Choice Program
There are companies that will help implement this program for you. Will you partner with the following? |
WageWorks
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Rideshare Matching Support
How will you provide the ride matching service? |
Employer-based system
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When do you match employees? |
During new hire orientation, On Demand/As Needed
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Flexible Hours
Within how many minutes can employees start/leave from their official shift time? |
30
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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) |
Assist in identifying park & ride lots, Identify bicycle and pedestrian routes, Provide transit routes, first/last mile connections, and schedule information
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Public Transit Introduction
Which type of transit pass will you provide your employees? |
1-Day
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If applicable, how much stored value will you provide? |
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Direct Strategies
Direct Strategies
Select 5 Direct Strategies. |
Transit Pass Program, Telecommuting, Secure Bike Parking, Prize Drawings, Auto Services
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Parking Management
Do you offer parking cash out? |
Yes
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How will you regulate the use of parking facilities? |
Hang tag/sticker
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Transportation Allowance
How often is the allowance given? |
Per month
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Transit Pass Program
In which of the following programs are you currently enrolled or intend on enrolling in? |
Metro A-Tap, Metro B-Tap, Big Blue Bus, Blue to Business
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Describe your transit pass program. |
We are enrolling in EZ pass program, will attach proof shortly
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Telecommuting
How many days per week can employees telecommute? |
1
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How many employees are eligible to participate? |
32
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How many employees currently participate? |
20
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How many employees do you project will participate? |
25
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Describe your telecommute program. |
The employee submits a request to their supervisor requesting permission to work from home on a regularly scheduled work day. If the supervisor approves the request, it goes to Admin for final approval and recording of the work change. We do allow occasional work from home days without the approval process on a day to day basis.
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Bike Share Subscription
How many subscriptions will you purchase? |
4
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Secure Bike Parking
Describe the secured bike parking area. |
employees may use the bike rack in the parking garage or bring their bike into the office for storage during work.
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Prize Drawings
How many trips does the employee need to complete to receive this incentive? |
20
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Prize #1 Description |
gift cards and raffle at monthly company event - Fun Frida
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Prize #1 Value |
$10.00
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Prize #1 Quantity |
7
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Prize #1 Raffle Frequency |
Monthly
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Describe your prize drawing program. |
We have a company event one Friday a month called Fun Friday. With everyone gathered we can promote the program and announce the winners with a drawing at our event.
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Auto Services
Auto Service #1 Description |
car wash gift cards
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Auto Service #1 Value |
$10.00
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Auto Service #2 Description |
gas gift cards
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Auto Service #2 Value |
$10.00
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Describe your auto services program. |
Anyone who carpools more than three days per week, will receive a gift card each month of their choosing.
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Other Direct Strategy #1
Describe Other Strategy #1 |
WageWorks Commuter Benefit is offered to all employees
pretax monthly deduction of up to $260 for calendar year for mass transit, van pools and transit parking fees. Processed through payroll deduction. Employees enroll on-line.
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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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