Request Reimbursement

• You can buy or lease your new equipment from any dealer in the United States, at auction, etc. A lease must have a term sufficient to extend to the end of the Activity Life or a binding commitment to purchase at the end of the term. For Seaport and Rail Yard Areas Emissions Reduction Program (SPRY), your lease must contain a binding commitment to purchase at the end of the term.
• You cannot buy or lease from a direct family member, friend, neighbor, etc.
• You should ask for a detailed invoice when you buy or lease your equipment.

Required Photos

You must submit clear, color photos of the following:

• A side view of the new equipment showing the entire vehicle.
• The stickers in the engine bay or on the engine itself that clearly show the engine make, model, serial number, engine family code, and manufacture year.
• Some engines have all this information on one sticker, while others have multiple stickers. Take as many photos as needed to ensure you have all the information required.
• Repower projects also require photos of the new engine, installed, from several different angles.

Example Photos

If you are submitting photos via email

• Label each photo with the activity number and a short description, for example: Activity 1- Side View.
• Then for each activity, combine all the required photos in one document. This document can be PDF or Word. Label it per activity, for example: Activity1, Activity2, etc.

If you are submitting printed photos

• Please use a pen or marker and label the back of each photo with the activity number, for example: Activity 1.
• Using a paper clip, combine all the required photos in one packet and label it per activity, for example: Activity1, Activity2, etc.

Gather the following documents:

• The photos from Step 2
• Proof of purchase or lease (invoice, bill of sale, purchase order, lease document, etc.)
• Proof of payment
• If you purchased with nonborrowed funds, you must submit a copy of your method of payment (cancelled check, wire, cashier’s check, credit card statement, bank statement, itemized receipt, etc.).
• If you financed or leased, you must submit a copy of the agreement that details the terms and conditions. Please note that a lease must have a term sufficient to extend to the end of the Activity Life or a binding commitment to purchase at the end of the term. For Seaport and Rail Yard Areas Emissions Reduction Program (SPRY), your lease must contain a binding commitment to purchase at the end of the term.

Form

• Request for Reimbursement Form (TCEQ-20824)

Page 1: Signing your document

Only sign the Release of Claims section if this is your only and/or last request for reimbursement on this contract (this is the most common). If you have more activities to request payment for, do not sign this section.

Page 2: Complete payment assignment

If you fully paid for the new equipment with non-borrowed funds or you paid more than the grant amount as a down payment:

• Enter your mailing address on the top of Page 2 of the form.
• Disregard the Assignment Request and Acceptance Section.

If you financed or leased your equipment:

• You will need to assign the reimbursement to your finance or lease company (they will receive your reimbursement and will need to credit your loan or lease).
• You may need your dealer or someone at the financing or leasing company to help you fill out page 2 of the form.
• We need your signature as well as a signature from someone authorized to sign on behalf of your financing or leasing company.
• Sending your reimbursement to a payment processing center could result in a delay if it is lost. We recommend providing an address on the form that goes to someone who knows how to process the reimbursement when it arrives.

Page 3: Activity detail

Tell us about the new equipment you purchased:

• Most requests for reimbursement will only require one copy of this page. If additional Activity Detail Tables are required, please duplicate this page.
• For on-road grants, reference your proof of purchase (invoice, bill of sale, purchase order) and vehicle Registration Renewal Receipt to find the equipment make, model, year, and ID.



• The engine make, model, serial number, year, and family code will come from the stickers in the engine bay or on the engine itself (use the photos you took in Step 2). If you have an electric motor, write “electric motor” and leave the rest blank.

Use one of the following options to submit your form.