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 Point of Contact Information
Fleet ID Number: ID # here, if known POC ID Number: ID here, if known
Fleet Name: official name here Name: full name here
Local name: optional internal name here Mailing Address: line 1here
Parent Organization: parent org. here (see note below) line 2 here
Fleet Type: fleet type here (see codes below) line 3 here
Mailing Address: line 1here City: city here
line 2 here State: 2-char code here
line 3 here Zip (xxxxx-xxxx): Zip+4 here
City: enter city here Phone: (xxx) xxx-xxxx
State: 2-char state code here Fax: (xxx) xxx-xxxx
Zip (xxxxx-xxxx): Zip+4 here E-Mail: email address here
(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: Enter Year here (Model year runs from Sept. 1 through Aug. 31; e.g., MY04 runs from Sept 1, 2003 through Aug 31, 2004)
Light Duty Vehicles: Enter quantity here (Enter the number of non-excluded light duty vehicles acquired (conventional plus alternative fueled) during the model year)
Biodiesel Purchased: Enter gallons here (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)
Applied Credits: Enter quantity here (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)
Alternative Fuel Vehicle Data (See codes at the bottom of this spreadsheet; please enter dates in format mm-dd-yyyy)
Vehicle Make Model Model Year VIN Vehicle Category Fuel Fuel Type Acquisition Conversion Conversion Light Duty Zip Code
Number (17 char, no O, I) Code Configuration Date Mode Date Indicator
1
2
3
4
5
6
7
8
9
10
11
12
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13
14
15
16
17
18
19
20
21
22
23
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25
(insert more rows as needed)
Make (e.g.): Model (e.g.): Conversion Mode: Fleet Type:
Chevrolet Lumina OEM - Original Equipment Manufacturer P - Alternative Fuel Provider
Ford Taurus PCon - Previously Converted by Another Owner S - State Agency
Dodge Ram SCon - Self Converted by Present Owner E - Approved for Electric Utility Delay
B - Biodiesel Fuel Provider
Vehicle Category Codes: Fuel Types: Fuel Configuration:
Auto - Automobile E85 - Ethanol 85% Ded - Dedicated Fuel
LDPu - Light-Duty Pickup (26000 lbs.) PSer - P-Series Y - 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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