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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ETC Phone Extension |
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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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Highest Ranking Official Phone Extension |
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Secondary Contact
Name |
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Title |
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Email |
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Phone |
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Phone Extension |
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Worksite Information
Overview
Which industry best describes your organization? |
Retail
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How many total employees do you have for all worksites in Santa Monica? |
85
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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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Worksite Analysis
Which transit lines stop with in 1/4 mile or 3 blocks from your worksite?
Big Blue Bus |
1, 2, Rapid 3, 5, 7, Rapid 7, 8, 9, Rapid 10
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Metro |
Expo Rail, 4, 704 Rapid, 20, 720 Rapid, 733 Rapid
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Which of these services and amenities are available at your worksite?
Check all that apply |
Bike Racks
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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) |
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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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Parking Lease Agreement
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? |
Yes
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Outreach/Education Strategies
Outreach/Education Strategies
Select at least 3 more Outreach/Education Strategies |
Distribute quarterly flyers, announcements, and memos about transportation
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Basic Support Strategies
Guaranteed Ride Home (Mandatory)
How will you provide the Guaranteed Ride Home? |
Uber, Lyft, or Similar, Taxi
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Do you use Metro's Guaranteed Ride Home Program? |
Yes
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Direct Strategies
Direct Strategies
Select 5 Direct Strategies. |
Other Direct Strategy # 1
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Other Direct Strategy #1
Describe Other Strategy #1 |
Nike does not offer any parking or parking subsidies to employees. Parking cash-out is offered in lieu of parking for managers only.
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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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