Oregon Clean Vehicle Rebate Program
Application Packet
Thank you for your interest in the Oregon Clean Vehicle Rebate Program! Enclosed you will find the Terms and
Conditions, and Rebate Application Form. Please read the Terms and Conditions carefully to understand Program
requirements.
Standard and Charge Ahead Rebates
You may apply for the Standard Rebate, the Charge Ahead Rebate or both. Rebate amounts vary based on eligible
vehicle technology type and income. Eligible vehicles and the income eligibility calculator can be found on the
program website.
Rebates depend on program funding at the time of vehicle purchase or lease. Visit the Available
Rebate Funding page before your purchase or lease to confirm rebate availability.
WHO QUALIFIES? STANDARD REBATE
CHARGE AHEAD REBATE
(purchase or lease on or
after Jan. 1, 2022)
Eligible Applicants
Oregon residents, businesses, nonprofits
and government agencies
Oregon residents, low-income
service providers
Qualifying Vehicles
New battery electric vehicles and plug-
in hybrid vehicles
New or used battery electric
vehicles and plug-in hybrid
vehicles
Rebate Amount
$750 for zero-emission motorcycles
$1,500 for battery under 10 kWh
$2,500 for battery 10 kWh or more
$5,000
Income Requirement No income requirement
Up to 400% of the federal
poverty guideline
How to Apply – 4 Steps
1. Read the Terms and Conditions carefully (pages 3-8). Confirm your vehicle qualifies by referring to the list
of eligible vehicles linked on the program website.
2. Fill out and sign the Rebate Application Form (pages 8-10).
3. Include a copy of all Required Documents (see page 5 of the Terms and Conditions). These include:
☐ Proof of Oregon Residency
☐ Complete Purchase/Lease Agreement
☐ Proof of Vehicle Registration (temporary or permanent)
☐ Local business license, articles of incorporation or other formation document filed with the Oregon
Secretary of State (Businesses, nonprofits and government agencies only)
☐ 501(c)(3) nonprofit determination letter from IRS (Charge Ahead, low-income service providers
only)
4. Mail your completed and signed Rebate Application Form and all required documents to:
Center for Sustainable Energy
ATTN: Oregon Clean Vehicle Rebate Program
3980 Sherman Street, Suite 170
San Diego, CA 92110
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Income Verification Required After Application is Received (Charge Ahead)
5. If applying for the Charge Ahead rebate, you must provide proof of income. After your application and
required documents (see #3 above) are received, you will be sent an email from
oregoncvrp@energycenter.org with the below forms attached. Complete and upload them to the secure
document portal.
The below documents do not need to be included in the initial application.
☐ Household Summary Form (Charge Ahead Only)
☐ Proof of Income (Charge Ahead Only). Form 4506-C for each household resident aged 18 and older OR
proof of applicant’s enrollment in a Public Assistance Program
NOTE: Low-income service providers applying for Charge Ahead will not need to provide proof of income
or the Household Summary Form.
If you have questions about the Terms and Conditions or filling out the application, please contact us at
OregonCVRP@energycenter.org, or call us at 855-383-4425.
Alternative formats
The Department of Environmental Quality can provide documents in an alternate format or in a language other
than English upon request. Please call DEQ at 800-452-4011 or email deq[email protected].
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Oregon Clean Vehicle Rebate Program
UPDATE: Due to overwhelming demand and limited funding, rebates will be suspended as of May 1, 2023.
Any vehicles purchased or leased on or after May 1, 2023, will not be eligible to apply for the rebate once
the program reopens. Once funding is available again, the program will announce its reopening. For more
information, read the news release.
Terms and Conditions
As a condition of participation in the Oregon Clean Vehicle Rebate Program (“the Program”), the Applicant
must adhere to and comply with the Terms and Conditions and any other requirements imposed by law, even if
assigning a rebate to a Participating Dealership. Applicants are responsible for reviewing the Terms and
Conditions prior to applying for a rebate.
DEQ will only issue rebates to Applicants who meet the Terms and Conditions, which include requirements as
laid out in Oregon Administrative Rule Chapter 340, Division 270, and under Oregon law. This document is
intended to explain the administrative rules and statutory requirements that apply to the Program.
Part 1: Applicant and vehicle requirements
Applicant must meet requirements that include, but are not limited to:
1. Applicant must be an Oregon resident, an organization such as a business, nonprofit, public entity or
Oregon state or municipal government entity based in Oregon or with a current Oregon-based affiliate, or a
low-income service provider that provides health, dental, social, financial, energy conservation or other
assistive services to low- or moderate-income households in Oregon. All businesses and nonprofits must
be licensed to operate in Oregon. All low-income service providers must be registered as a 501(c)(3)
organization based in Oregon or have an Oregon-based affiliate. Businesses, nonprofits, government or
public entities are limited to ten (10) rebates per entity per calendar year.
2. Applicant must submit an application within six (6) months of the date of purchase or lease of an eligible
vehicle. For the purposes of the Program, the “date of purchase” is the date the purchase contract or
security agreement is executed and signed. For the purposes of the Program, the “date of lease” is the date
which the lease agreement is signed.
a. For Tesla and other vehicles ordered without a standard purchase/lease agreement, the date of
purchase or lease is the first date of vehicle registration. Applicants must take delivery of their
vehicle before submitting a rebate application.
3. If applying for a Charge Ahead Rebate, the household income must be less than 400% of the federal
poverty guideline. Income eligibility will be verified for the year the vehicle was purchased or leased. If
that income information is unavailable or inadequate, income eligibility will be verified from a previous
year. All income verification documentation must reflect the name of the Applicant.
4. The purchase or lease of an eligible new or used vehicle must comply with Oregon Administrative Rule
Chapter 340, Division 270. Eligible vehicles are identified on the Program website.
a. Vehicle must be purchased or leased from a certified dealership or an original equipment
manufacturer (“OEM”). If a vehicle is purchased through an OEM, the OEM cannot have any
licensed, franchised, new automobile dealerships in Oregon.
5. Standard Rebates are only available to new vehicles. Vehicles are only considered new if they have not
been previously registered. Vehicles that were previously used as dealership floor models and test drive
vehicles (“demo vehicles”) are eligible for a rebate only if they have not been previously registered.
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Vehicles determined by the Oregon Clean Vehicle Rebate Program Administrator (“the Administrator”) to
be unrebated rollback or unwind vehicles are considered new vehicles. Vehicles that have already received
a rebate are not eligible for another Standard Rebate, unless the full amount of the original rebate was
returned. The Applicant is responsible for verifying in advance that the vehicle has not previously received
a rebate.
6. If applying for a Charge Ahead Rebate and purchasing a used vehicle, Applicant attests that they have not
previously owned or leased the vehicle. Applicant must provide all information requested to confirm the
Applicant is not buying, selling or leasing vehicles in a manner that circumvents the intent of the Charge
Ahead Rebate Program.
7. Applicant must retain ownership of the vehicle for a minimum of 24 consecutive months immediately
following the date of vehicle purchase or lease (“Ownership Requirement”) and register the vehicle for use
in the state of Oregon with the Oregon DMV for that entire ownership period. For leased vehicles, the
original lease term must be a minimum of 24 months.
a. Applicant is required to notify the Administrator in advance of the intent to sell, return or
terminate a lease in order to arrange for early termination of vehicle ownership and Ownership
Requirement.
b. If Applicant violates the Ownership Requirement, they agree to remit the rebate to the Program,
either in full or a pro-rated amount of the rebate, as determined by the Administrator. DEQ or its
designee reserves the right to recoup all rebate funds from the Applicant and may pursue other
remedies available under the law.
c. Obtaining the rebate at the point of sale from a Participating Dealership does not alleviate
Applicant’s responsibility to remit the rebate funds to the Program if the Ownership Requirement
is not met.
d. Applicant must be available for follow-up inspection if requested by DEQ, or DEQ’s designee, for
project oversight and accountability.
8. Applicant certifies that they will not make or allow any modifications to the vehicle’s emissions control
systems, hardware, software calibrations or hybrid system. Applicant certifies that they will participate in
ongoing research efforts and surveys that support the Program goals, upon request from the Administrator.
9. For business, nonprofit, public entity and Oregon state or municipal government Applicants, annual
vehicle usage reports must be submitted to the Administrator for all rebated vehicles for a period of at least
24 months. Report data may include, but is not limited to, mileage reporting and annual fuel use by fuel
type.
Part 2: Application process
To apply for a rebate, submit an application and all required documentation within six months of the purchase or
lease date of the vehicle. Mail application and required documentation to the Program Administrator:
Center for Sustainable Energy
ATTN: Oregon Clean Vehicle Rebate Program
3980 Sherman Street, Suite 170
San Diego, CA 92110
Applicant must be an Oregon resident, an organization such as a business, nonprofit, public entity or Oregon
state. Submission date for mailed applications is determined by U.S. mail postmark. For security purposes,
required documents sent on removable media (flash drives, CDs, DVDs, etc.) or email will not be accepted.
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Program communications will be sent via email. They may include requests for additional documentation or
information. It is the responsibility of the Applicant to submit a correct email address in the application and
ensure it allows emails from the Program. Applicants are responsible for emails sent from the Program.
Applicants are encouraged to add oregoncv[email protected]rg
to their Safe Senders list, and review Spam and
Junk folders for emails from the Program. Applicant understands that notices will be sent via email and it is their
responsibility to check all OCVRP related emails. Applicant understands that their application will be cancelled
if they do not provide required supporting documentation within the required timeframe.
Required documentation
1. Application forms must be completed, signed and dated by the Applicant or their legally authorized
representative. Authorized representatives are required to supply documentation to demonstrate their
authority to sign on the Applicant’s behalf. Applicant must contact the Administrator immediately if there is
a mistake on the application form. Applicants who submit an application form with an incorrect Applicant’s
name will need to reapply.
2. Proof of temporary or permanent Oregon vehicle registration for the vehicle listed in the application. The
Applicant’s name must be on the registration, and the registration must be current (not expired).
3. A complete copy of the vehicle sale or lease contract executed and signed, with all pages included. A
complete contract includes an itemization of credits, discounts and incentives received, if applicable. The
Applicant’s name and the name of the dealership must be listed on the contract.
4. Proof of Oregon residency:
a. For individuals, including Oregon residents, trusts, Doing Business As (DBAs), and Sole
Proprietorships, a copy of the Applicant’s current (not expired) Oregon driver’s license. For DBAs
(also known as fictitious business name, assumed business name or trade name), a document
linking the individual to the DBA is required. Individuals who do not have an Oregon driver’s
license will be required to provide proof of Oregon residency in the form of one of the following
(The Administrator will reach out to confirm this.):
i. A utility or cable bill from the last three months.
ii. A copy of the current DMV registration of another vehicle in the name of the Applicant.
Registration for a Planned Non-Operational vehicle does not meet this requirement.
iii. A signed, dated and notarized residential rental agreement.
iv. Other valid form of identification demonstrating Oregon residency as approved by DEQ.
b. For an organization, such as businesses, nonprofits or public or government agency: A copy of a
local business license, articles of incorporation or other formation document filed with the Oregon
Secretary of State.
5. Proof of income
1
, for all Charge Ahead applications:
a. Proof of enrollment in an eligible income-qualified program (“Categorical Eligibility Program”) at
the time of vehicle purchase or lease.
OR
1
This information will be requested separately and does not need to be mailed in with the original application.
Page 6 of 10 Updated : March 15, 2023
b. A completed Household Summary form reflecting household size AND a completed IRS Form
4506-C for every household member aged 18 and older living in the household at the time of
vehicle purchase or lease, regardless of filing status or dependency. If Applicant’s tax transcript
for the year of vehicle purchase or lease is not available, additional documentation will be required
to verify income.
c. For low-income service providers, in lieu of the above, a 501(c)(3) nonprofit determination letter
is required.
Application review process
All eligibility will be reviewed based upon the Oregon Administrative Rule Chapter 340, Division 270 and
Oregon statute in place at the time a new application is submitted. An Applicant must provide all additional
information and documentation requested by the Administrator or DEQ to determine eligibility. If additional
documentation is required, Applicant has 14 calendar days to submit it to the Administrator.
Program communications will be sent via email. They may include, but are not limited to, requests for additional
documentation or information.
Applications that do not meet program requirements or submit required documentation within the timeframe
allotted will be cancelled and reserved rebate funds will be released to the Program. Notification will be sent to
the email address on file to notify Applicant of the cancellation. If the application is cancelled, Applicant is
responsible for submitting a new application. If the new application falls outside of the Applicant’s eligibility
window, the application will be ineligible. Extensions will not be granted.
Appeals
Applicants may appeal the cancellation in writing to DEQ within 60 days of the date of the cancellation. The
appeal letter must set forth all facts that form the basis for the appeal, including why the Applicant believes that
the statute or rules have been misapplied or otherwise improperly cancelled the application. Please send your
appeal letter to the following address:
Oregon Department of Environmental Quality
ATTN: OCVRP Appeal
700 NE Multnomah Street, Suite 600
Portland, OR 97232-4100
DEQ will respond to all appeals of cancellation in writing. If the only basis for an appeal is that the Applicant
disagrees with the policies set forth in the Terms and Conditions and Oregon Administrative Rule Chapter 340,
Division 270, DEQ will deny the appeal. DEQ’s response will constitute an order in other than a contested case.
Part 3: Rebate payment
Rebate funds are reserved at the time of application submission. All required documentation must be provided
during the application process or rebate funds will not be reserved. Application submission does not guarantee
availability of Program rebate funds. Rebates are disbursed on a first-come, first-served basis, prior to the
exhaustion of Program funds.
Applicants that request a rebate check must cash it within two (2) years of the date on the check. Checks not
cashed within this timeframe will be cancelled, and the rebate funds will be returned to the Program.
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Public records disclosure:
By submitting your application, you agree to share all information provided as part of your application, including
personal information included on your application. “Personal Information” includes an individual’s name,
address, email address, social security number, driver license number, household income, telephone number,
racial identity, ethnicity, age and gender identity. Personal information will be shared with the following parties
for the allowed uses described:
1. The Center for Sustainable Energy to contact you, process your rebate and enforce the program Terms
and Conditions.
2. The Oregon Department of Environmental Quality, Oregon DMV and the Oregon Treasury to administer
the Program, distribute your rebate funds and enforce program Terms and Conditions.
3. Any other parties as required by Oregon Public Records Law, ORS 192.385 to ORS 192.338.
DEQ depends on personal information to efficiently process rebate applications for the Program. DEQ values the
information submitted and believes that applicants’ willingness to provide this information is in the public
interest because it allows DEQ to issue rebates as efficiently as possible.
Oregon DEQ is not able to guarantee confidentiality. Personal Information submitted in this application is
considered public record and subject to disclosure as required by Oregon Public Records Law, ORS 192.385 to
ORS 192.338. Thus, Personal Information included on the application may be subject to disclosure under the law
in response to a public records request. Personal Information that is made confidential under federal law is
exempt from disclosure under the Oregon public records law.
If you indicate that you would not submit the information but for a promise of confidentiality from DEQ, DEQ
will make its best efforts to keep the information confidential. If DEQ receives a public records request under
which this rebate application is deemed a responsive record, it will carefully analyze any submission to
determine if it is exempt from disclosure under the Oregon Public Records Law. DEQ will make its best effort to
withhold records where the applicant requested confidentiality, while at the same time being mindful of its
obligations under the Public Records Law.
By submitting your application, you agree to complete the Program Participant survey. Information you provide
will not be used for commercial purposes. The information, including personally identifiable information, will be
used by the Center for Sustainable Energy to conduct research for the purposes of improving the
Program. Information you provide, including personally identifiable information, may also be used for academic
research purposes by DEQ.
Oregon DEQ will securely store your data for six years from the date of application or other date as mandated by
Oregon Administrative Rule Chapter 340, Division 270.
Consent:
By submitting your application, you acknowledge that you have read, understand and agree to the program
Terms and Conditions.
If you have questions about the Terms and Conditions, or about filling out the application, please contact the
Administrator at 855-383-4425 or OregonCVRP@energycenter.org.
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Oregon Clean Vehicle Rebate Program
Standard and Charge Ahead Rebate Application Form
All information is required unless otherwise noted. Failure to complete all required information will result in delay or
rejection of your application. Please print legibly.
SECTION 1 - APPLICANT TYPE
Applicant type (select one): ☐ Individual
☐
Business
☐
State Government Agency
☐
Local Government Agency
☐ Nonprofit Organization ☐ Low-income Service Provider
(If you select “Individual”, please proceed to Section 2. All other options, proceed to Section 3)
SECTION 2 APPLICANT INFORMATION - INDIVIDUAL
Last name (as shown on vehicle registration)
Phone number
Email address (required)
Residential address (Please enter the address where you resided at the time of purchase or lease of your vehicle. If you
have moved, please provide your current address as the mailing address.)
City
State
ZIP Code
Mailing address (Enter only if different from above address.)
City
State
ZIP Code
To be eligible for the Charge Ahead Rebate, your household income must be below 400% of the federal poverty
guideline. “Household” is defined as an individual living alone, a family with or without children, or a group of
individuals who are living together as one economic unit. Please visit the Income Eligibility Calculator on our website
to confirm eligibility.
Would you like to apply for the Charge Ahead Rebate based on the guidelines listed above?
(Select one) ☐ Yes ☐ No
(If you select Yes, please complete Section 2A. If you select No, please proceed to Section 4)
SECTION 2A - CHARGE AHEAD REBATE ELIGIBILITY (INDIVIDUAL)
Were you enrolled in one of these public assistance programs at the time you purchased or leased your vehicle? (Check
all that apply.)
☐ Oregon Health Plan / Medicaid ☐ SNAP (Include Acceptance Letter)
☐ Free- or Reduced-Price Lunch ☐ Temporary Assistance for Needy Families (TANF)
☐ HUD Housing Choice Voucher ☐ LIHEAP (Home Energy Assistance)
☐ Employment Related Daycare ☐ TriMet reduced fare program for low-income rider
☐ Women, Infants and Children (WIC) ☐ Individual Development Account (IDA) holder
(If you select any Public Assistance Program, proof of enrollment will be required once your application is received.)
What was your household income at the time you purchased or leased your vehicle?
$
“Household income” is your gross annual income which includes, but is not limited to wages, unemployment, workers'
compensation, Social Security, Supplemental Security Income, public assistance, veterans' payments, survivor benefits,
pension or retirement income, interest, dividends, rents, royalties, income from estates, trusts, educational assistance,
alimony, child support, assistance from outside the household, and any other sources of income.
What was your household size at the time you purchased or leased your vehicle?
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SECTION 3A APPLICANT INFORMATION - ORGANIZATIONS
Is this a fleet vehicle? (Select one)
☐
Yes, car share/rental vehicle ☐ Yes, public fleet vehicle ☐ No, not a fleet vehicle
Please complete the information for the authorized representative(s) of the organization. (If you are a sole
proprietorship, DBA or Trust, you must apply as an individual and complete Part 2.)
Primary contact first name
Primary contact last name
Primary contact phone
Primary contact email
Secondary contact first name
Secondary contact last name
Secondary contact phone
Secondary contact email
Organization name (as filed with the Oregon Secretary of State)
Tax Identification Number (TIN)
Street/Unit #
City
State
ZIP Code
Mailing address (Enter only if different from above address.)
Street/Unit #
City
State
ZIP Code
SECTION 3B – CHARGE AHEAD REBATE ELIGIBILITY (LOW-INCOME SERVICE PROVIDERS)
Are you a low-income service provider that provides health, dental, social, financial, energy conservation or other
assistive services to low- or moderate-income households in Oregon and registered as a 501(c)(3)?
☐ Yes
☐
No
SECTION 4 - VEHICLE INFORMATION
Please refer to the purchase or lease agreement for below information.
VEHICLE IDENTIFICATION NUMBER (VIN)
New or used? (Select one)
☐ New ☐ Used
MAKE
MODEL
YEAR
Purchase or lease? (Select one)
☐ Purchase ☐ Lease
Date of purchase or lease start date (MM/DD/YY)
(For Tesla and other vehicles without standard purchase/lease agreements, the date of first
registration is considered the date of purchase or lease.)
If leased, length of lease term in months
Leased vehicles with lease terms less than 24 months are ineligible.
Dealership name
Dealership phone number
Dealership contact name (Salesperson)
Dealer contact title
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SECTION 5 - SIGNATURE
(Please read, check all relevant boxes below and sign below.)
By signing this application, the Applicant agrees to the following: (Required for all applicants)
☐ I have read and agree to the Terms and Conditions.
☐ I certify under penalty of perjury that, to the best of my knowledge, the information provided in this
application and supporting documentation is accurate.
☐ I agree to provide my Personal Information (defined below) as part of this application, and understand and
agree that my Personal Information will be shared with the following parties for the following purposes:
1. The Center for Sustainable Energy, so they may contact me, process my rebate and enforce the
Program Terms and Conditions.
2. The Oregon Department of Environmental Quality (DEQ), Oregon DMV, and the Oregon Treasury to
administer the Program, distribute my rebate funds and enforce program Terms and Conditions.
3. Any other party pursuant to a public records request under which this rebate application is deemed a
“responsive record”, in which case DEQ may release some or all of my Personal Information to a third
party as required by Oregon law.
Personal Information may include, but is not limited to, an individual’s name, address, email address, social
security number, driver license number, household income, telephone number, racial identity, ethnicity, age and
gender identity.
FOR LOW-INCOME SERVICE PROVIDERS ONLY:
☐ I attest that I am a low-income service provider, as defined in Oregon Administrative Rule 340-270-
0030(8).
Signature of Applicant or Authorized Representative: ________________________________________
Date: _____________________
Mail this signed application form along with the required supporting documents to:
Center for Sustainable Energy
ATTN: Oregon Clean Vehicle Rebate Program
3980 Sherman Street, Suite 170, San Diego, CA 92110
Required documents:
☐ Proof of Oregon Residency
☐ I have provided a copy of my Oregon Driver’s License
☐ I do not have an Oregon Driver’s License and have provided approved alternative proof of residency (see page 6)
☐ Complete Purchase/Lease Agreement
☐ Proof of Vehicle Registration (temporary or permanent registration)
☐ Local business license, articles of incorporation, or other formation document filed with the Oregon Secretary of
State. (Business, nonprofit or local government only)
☐ 501(c)(3) nonprofit determination letter from IRS (Charge Ahead, Low-Income Service Providers Only)
Charge Ahead income documentation will be requested after the Center for Sustainable Energy receives the required
documents above. Do not submit the below information until requested by CSE.
☐ Household Summary Form (Charge Ahead Only)
☐ Proof of Income (Charge Ahead Only). Form 4506-C for each household resident OR proof of enrollment in a
Public Assistance Program