2024 (July-August) Ozone Season Transit Subgrantee Reimbursement Form

Subgrantee Information

Please refer to the Subgrantee Reimbursement Uniform Guidance when completing this form.
The grant number can be found on your award letter
Refer to you application and Grant Award letter for this amount
Refer to you application and Grant Award letter for this amount
Accepted file types: pdf, Max. file size: 256 MB.

Reimbursement

Please provide a description of the fare free transit program you provided with the program period and total days the program occurred. Please only count days that fare-free transit was provided (example: if you provided free transit Monday-Friday but not on Saturday or Sunday for 4 weeks the total amount of free transit days would be 20, not 28.) The Award Letter should be used to help complete this section. Please use Past Tense.
Please provide a detailed explanation of the expenses including any in kind contributions or match necessary to implement the new transit services made free during the program period. Please provide as much detail as possible. If requesting reimbursement for fare-box recovery please provide a detailed explanation of the costs associated with fare-box recovery and how you calculated fare-box recovery. If your total request amount does not match the Granted Amount, please explain why the Total Reimbursement Request does not match the Grant amount in this section.
Please provide a summary of ridership for the program period, breaking down ridership for each month of the program period and include a comparison of the ridership for the two months leading up to and after the 2024 program with the month(s) of your program. We are interested in understanding how ridership for the services your agency made free for the program has changed over the years. Additionally, we would like to understand how your zero fare program compares to ridership numbers for the two months prior and two months after your program. Include any rider stories, lessons learned and unanticipated benefits and challenges that help provide additional context and understanding. Please use the format provide in the Ridership Summary Format Template
Please provide your Subgrantee Expense Report in this section along with the documentation to support expenses related to implementing Free Transit Service during the Program Period that were reported in the Subgrantee Expense Report Template. Subgrantees must use this form to report all expenses related to the program. Please submit the template as an excel spreadsheet with all sheets, even if some sheets aren’t used. Acceptable forms of documentation include: Receipts Expense reports Each expense reported in the Subgrantee Expense Report Template must include supporting documentation and be traceable to its documentation. There are sections in the template to describe the documentation.
Drop files here or
Accepted file types: pdf, Max. file size: 256 MB.
    Please provide your Subgrantee Ridership Report along with your program's ridership documentation that highlights and supports the new and/or expanded free transit service rides during the program period reported in the Subgrantee Ridership Template. Subgrantees must use this form to report ridership related to the program. Please submit the template as an excel spreadsheet with all sheets, even if some sheets aren’t used. This report should break down each route/program with riders for each month. Please use the names of the route/program reported in the form in the ridership report.
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    Accepted file types: pdf, Max. file size: 265 MB.
      Submitter(Required)