Emission Reduction Plan 2018-2019 (Beta)

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	---
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	---

Overview

Which industry best describes your organization?	Media
If other, please describe:	---
How many total employees do you have working in Santa Monica for all locations?	117

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?

Yes

Worksite #2

Business Name	---
Site ID	---
Address (Street, Suite, City, Zip)	---
How many employees work at this location?	---

Add another worksite

Would you like to add a third worksite?

No

Worksite #3

Site ID

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