How to Request Reimbursement

• Grant Financial Forms:
  
  • Reimbursement Forms
  • Reimbursement Mailing and Delivery Instructions
  • Reimbursement Picture Requirements
  • Disposition Forms
• Reimbursement and Disposition Publications
• Grant Documents
• Application for Texas Identification Number (AP-152 Form)
• Texas Department of Motor Vehicles - Application for Vehicle Salvage Title or Non-repairable Vehicle Title (VTR-441 Form)

Grant Financial Forms

Request for Reimbursement, Assignment of Payment, and Vehicle/Equipment/Engine Disposition Forms

Reimbursement Forms:

Forms For All Grant Programs	Excel	PDF
Mailing and Delivery Instructions
Photo Requirements

Clean Fleet, ERIG, Rebate, and Drayage Programs	Excel	PDF
Instructions & Forms for ALL Contract Years - Form 20790 (Revised 5/15/2017)
Additional Form 2a (Replacements) - Form 20791 (Revised 5/18/2017)
Additional Form 2b (Repowers) - Form 20792 (Revised 5/18/2017)

Texas Natural Gas Vehicle Grant Program (TNGVGP)	Excel	PDF
For ALL Contract Years (582-14/15-XXXXX-0838) (Revised 1/01/17)

Disposition Forms:

Disposition Forms	Excel	PDF
For 2015 contracts and newer: Replacement and Repower Activities
For 2012, 2013 and 2014 contracts : Replacement and Repower Activities	--
For 2011 contracts: Replacement and Repower Activities
For 2009 and 2010 contracts: Replacement and Repower Activities

Texas Natural Gas Vehicle Grant Program (TNGVGP)	Excel	PDF
All Activities	--

The TCEQ is committed to accessibility. If you would like to request a more accessible version of these documents, please contact the TERP program at 800-919-TERP (8377).

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TERP Reimbursement and Disposition Publications:

• I Just Received A Grant - Now What? (RG-464): A step-by-step workbook for recipients of TERP grants explaining what their grant requires of them.

• Reimbursement and Disposition Workshop Presentation (PDF)

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Grant Documents:

• EPA Memorandum 1A
• Project Status and Completion Report (if requested by TCEQ) PDF Excel
• TCEQ Allowable Expenditures Guidelines (PDF)
• Uniform Grant and Contract Management Standards (UGMS) (MS Word document, 718KB)
• Example Cost or Price Summary Form (EPA 5700-41) (PDF)
  Any noncompetitive procurement of goods and services should be supported by a written cost or price analysis to help show that the cost or price was reasonable. This analysis does not need to be submitted with the application, but must be kept on file for review. EPA Form 5700-41 is provided as an example. You do not need to use this form, but your analysis should include similar information.

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