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Preliminary Approval Application for the
Alternative Fuel Grant Program

Applicant's Information
(i.e. 801-123-1234)
Installer’s Information
Vehicle Information
(i.e. 10/21/2016)
(up to 2500.00)

Terms of the Agreement

Preliminary Approval Application for the Alternative Fuel Grant Program

I acknowledge that receiving preliminary approval does not guarantee re-imbursement by the Division, and preliminarily approved projects shall meet all the eligibility requirements listed in R307-124 before receiving the clean fuel grant for an eligible vehicle.

I certify under penalty of perjury and subject to provisions of Utah Code Section 76-8-504 ("written false statement"), that all savings on the cost of conversion equipment in the amount of clean fuel grant will be passed to the owner of the eligible vehicle, as required in Subsection 19-2-303(2)(b).

I certify that the applicant is currently a registered business within the State of Utah and has a current business license.

I agree to the provisions found in Subsection 19-2-303(3)