CUPA Forum Board Environmental Protection Trust Fund Supplemental Application for Vehicles or Emergency Response Equipment

Agency Name

Click here to enter text.

Vehicles Intended Use:
Unified Program Emergency Response
Will the vehicle be used for other duties assigned to inspector(s) in other programs?
YES ☐ NO ☐ If “yes,” what is the percentage of intended use for the Unified Program? Click here to enter text. Has your agency used trust grants for vehicles? If so when and how many? Click here to enter text.

Are your vehicles run through the county/city fleet services or are they managed through your own Department?

Fleet Services☐ Department☐ Other (name)Click here to enter text.

Are there “life of the vehicle” policies as per your fleet services?

YES☐ Limit in miles: Click here to enter text. NO☐ If yes, what is the policy? Click here to enter text.

What are your budget constraints that prevent you from purchasing your vehicle?

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