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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| 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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Secondary Contact
| Name |
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| Title |
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| Email |
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| Phone |
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Worksite Information
Overview
| Which industry best describes your organization? |
Other
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| If other, please describe: |
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Worksite #1
| Site Name |
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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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Management Commitment
Management Commitment Letter Upload
Parking Cash Out Program
Parking Cash Out
| How many parking spaces does your worksite lease? |
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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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You may be exempt if:
Worksite Analysis
Which transit lines stop with in 1/4 mile or 3 blocks from your worksite?
Which of these services and amenities are available at your worksite?
| Check all that apply |
Bike Lockers or Secure Area
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Average Vehicle Ridership
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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Outreach/Education Strategies
Outreach/Education Strategies
| Select at least 3 more Outreach/Education Strategies |
Distribute quarterly flyers, announcements, and memos about transportation, Send direct encouragement from the CEO
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| Have an idea that's not on the list? Describe your personalized strategy here. |
Encourage employees to work from home before early of after late client meetings.
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Basic Support Strategies
Basic Strategy 1: Guaranteed Ride Home (Mandatory)
| How will you provide the Guaranteed Ride Home? |
Uber, Lyft, or Similar
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Basic Strategy 2: Commuter Choice Program
| Will you use this strategy? |
Yes
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| There are companies that will help implement this program for you. Will you partner with the following? |
WageWorks
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Basic Strategy 6: Commute Assistance
| Will you use this strategy? |
Yes
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| Employer will (check all that apply) |
Provide transit routes, first/last mile connections, and schedule information
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Basic Strategy 7: Transit Information Center
| Will you use this strategy? |
Yes
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| Will you also sell transit passes or TAP cards on site? |
No
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Basic Strategy 8: Public Transit Introduction
| Will you use this strategy? |
Yes
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| Which type of transit pass will you provide your employees? |
1-Day
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Direct Strategies
Direct Strategy 1: Parking Charge
| Will you use this strategy? |
No
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Direct Strategy 2: Compressed Work Week
| Will you use this strategy? |
No
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Direct Strategy 3: Telecommuting
| Will you use this strategy? |
No
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Direct Strategy 4: Bike Share Subscription
| Will you use this strategy? |
No
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Direct Strategy 5: Transportation Allowance
| Will you use this strategy? |
Yes
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| How much is the allowance? |
$25.00
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| How often is the allowance given? |
Per month
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Direct Strategy 7: Secure Bike Parking
| Will you use this strategy? |
Yes
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| Please describe the secured bike parking area |
The bike parking is located on the westside of the building. We will be providing the Bike repair kit.
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Direct Strategy 8: Prize Drawings
| Will you use this strategy? |
No
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Direct Strategy 9: Bicycle Program
| Will you use this strategy? |
No
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Direct Strategy 10: Gift Cards
| Will you use this strategy? |
Yes
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| How many trips does the employee need to complete to receive this incentive? |
28
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| Gift Card Vendor(s) |
visa, amex, MC
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| Gift Card Value |
$10.00
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Direct Strategy 11: Free Meals
| Will you use this strategy? |
Yes
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| How many trips does the employee need to complete to receive this incentive? |
28
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| Meal Vendor(s) |
Grubhub
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| Meal Value |
$10.00
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| Frequency Given |
Monthly
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Direct Strategy 12: Vanpool Program
| Will you use this strategy? |
No
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Direct Strategy 13: Direct Cash Subsidy
| Will you use this strategy? |
No
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Direct Strategy 15: Auto Services
| Auto Service #1 Description |
Car wash
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| Auto Service #1 Value |
$10.00
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Feedback
How did we do?
| Was this website easy to use? |
Very Easy
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| Are the requirements for employers clear? |
Fairly Clear
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| How can we improve? |
In the Direct Strategies part, it should be nice to indicate that even if you decide not to use a strategy, you have to input NO.
Thanks!
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