d152bb4b-7ded-4e41-8c37-38712676297b.xls
Form DOE/FCVT/101: Standard Compliance Reporting Spreadsheet
Alternative Fuel Vehicle Credits
To submit your annual report using this spreadsheet form, insert your data into this form and save it on your computer. Then send the completed spreadsheet file to L-3 Communications at afv_credit_acct@L-3com.com. You may want to save the original form, before you fill it out, as a distinct file for future use. PLEASE DO NOT CHANGE ANY OF THIS SPREADSHEET'S CELLS (e.g., by moving them or changing their format) OTHER THAN TO INSERT YOUR DATA IN THE APPROPRIATE CELLS.
Fleet Identification
Fleet ID Number:
Point of Contact Information
ID here, if known full name here line 1here line 2 here line 3 here city here 2-char code here Zip+4 here (xxx) xxx-xxxx (xxx) xxx-xxxx email address here
ID # here, if known POC ID Number: Fleet Name: official name here Name: Local name: optional internal name here Mailing Address: Parent Organization: parent org. here (see note below) Fleet Type: fleet type here (see codes below) Mailing Address: line 1here City: line 2 here State: line 3 here Zip (xxxxx-xxxx): City: enter city here Phone: State: 2-char state code here Fax: Zip (xxxxx-xxxx): Zip+4 here E-Mail: (Parent Organization is parent company name, if applicable, for fuel provider fleet or state name for state fleet) Publicize Fleet if it has Banked Credits: Yes or No here
Model Year Data
Reporting Model Year: Light Duty Vehicles: Biodiesel Purchased: Applied Credits: Enter Year here Enter quantity here Enter gallons here Enter quantity here (Model year runs from Sept. 1 through Aug. 31; e.g., MY04 runs from Sept 1, 2003 through Aug 31, 2004) (Enter the number of non-excluded light duty vehicles acquired (conventional plus alternative fueled) during the model year) (Enter total number of gallons of the biodiesel component of your fuel purchases; e.g. for 5000 gallons of B20 biodiesel fuel, there are 1000 gallons of the biodiesel component for which you can get credit) (Number of your Banked Credits you want applied to this year's acquisition requirement to achieve compliance Enter nothing if you have no banked credits or do not need to use any to fulfill this year's acquisition requirement) (See codes at the bottom of this spreadsheet; please enter dates in format mm-dd-yyyy) Model Year VIN Vehicle Category Fuel Fuel Type Acquisition Conversion Conversion (17 char, no O, I) Code Configuration Date Mode Date
Alternative Fuel Vehicle Data
Vehicle Number 1 2 3 4 5 6 7 8 9 10 11 12 Make Model
Light Duty Indicator
Zip Code
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(insert more rows as needed)
Make (e.g.): Chevrolet Ford Dodge
Model (e.g.): Lumina Taurus Ram
Conversion Mode: OEM - Original Equipment Manufacturer PCon - Previously Converted by Another Owner SCon - Self Converted by Present Owner
Fleet Type: P - Alternative Fuel Provider S - State Agency E - Approved for Electric Utility Delay B - Biodiesel Fuel Provider
Vehicle Category Codes: Auto - Automobile LDPu - Light-Duty Pickup (26000 lbs.)
Fuel Types: E85 - Ethanol 85% CNG - Compressed Natural Gas LPG - Liquified Petroleum Gas (Propane) Elec - Electricity LNG - Liquified Natural Gas Hydr - Hydrogen B100 - Biodiesel 100% PSer - P-Series
Fuel Configuration: Ded - Dedicated Fuel Dual - Dual Fuel/Bi-Fuel (can switch between fuels, eg, CNG/Gasoline) Flex - Flex Fuel (operates on mix of fuels, eg, alcohols/gasoline) Cell - Fuel Cell
Light-Duty Indicator: Y - Gross Vehicle Weight < or = to 8500 lbs. N - Gross Vehicle Weight > 8500 lbs.
Notes:
1. Acquisition dates must not be earlier than 10/24/92 or later than Aug. 31 of the year for which you are reporting 2. Conversion dates for self-converted vehicles (SCon) must be within 4 months of the acquisition date (except vehicles acquired between 10/14/92 and 8/31/96 that can be converted up to 4 months after the fleet's acquisition reguirements begin)
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