Emission Reduction Plan

Select the date when your Emission Reduction Plan is due.

Due Date

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Mailing Address (All correspondence will go to this address)

Name of Recipient	---
Mailing Address (Street, Suite, City, State, Zip)	---

Employee Transportation Coordinator (ETC)

ETC Name	---
ETC Title	---
ETC Email	---
ETC Phone	---
ETC Phone Extension	---
Best way to reach me	---
Please upload a scanned copy of your ETC certification	---
Who provided the ETC certification?	---
Date of ETC Certification	---

Highest Ranking Official

Highest Ranking Official Name	---
Highest Ranking Official Title	---
Highest Ranking Official Email	---
Highest Ranking Official Phone	---
Highest Ranking Official Phone Extension	---

Secondary Contact

Name	---
Title	---
Email	---
Phone	---
Phone Extension	---

Overview

Which industry best describes your organization?	Health
How many total employees do you have for all worksites in Santa Monica?	43

Worksite #1

Business Name	---
Site ID	---
Address (Street, Suite, City, Zip)	---
How many employees work at this location?	---
How many of the employees working at this location live in Santa Monica?	---

Add another worksite

Would you like to add a second worksite?

No

Add another worksite

Would you like to add a third worksite?

No

Which transit lines stop with in 1/4 mile or 3 blocks from your worksite?

Big Blue Bus

8

Which of these services and amenities are available at your worksite?

Check all that apply

Bike Lockers or Secure Area, Bike Racks, Bike Repair Kit

Applicability

Do you have 50 or more employees?

No

Exemptions

You may be exempt if (check all that apply)

The entire cost of our parking spaces is included in our building lease., We cannot reduce the amount of parking spaces we have in our lease agreements., We do not own or lease any parking spaces.

Parking Details

What is the monthly cost per parking space leased?	---
How much, if at all, do you charge employees for parking?	---
How many employees receive cash in lieu of parking?	---

Survey Week

Survey Start Date	---
Survey End Date	---

Minimum Survey Response Rate

How many employees arrive or depart in the Morning Commute Window?	---
How many employees arrive or depart in the Evening Commute Window?	---

Average Vehicle Ridership Target

What is your AVR target?

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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 (Most Popular)

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.	---
Did you pay for a TMO Membership?	---

Select the plan year

Plan Year

2019-2020