CVRP Sample Supporting Documents
Last Versioned: December 2022
This publication was supported by the “California Climate Investments” (CCI) program.
CVRP Sample Supporting Documents
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Contents
How can I avoid common submission mistakes? .......................................................................................... 2
California Driver’s License ............................................................................................................................. 3
Proof of Registration ..................................................................................................................................... 4
Sample 1 Application for Registration of New Vehicle (REG 397) ......................................................... 5
Sample 2 New Vehicle Dealer Notice (Temporary Registration) ........................................................... 6
Sample 3 Permanent Registration (Registration Card) .......................................................................... 7
Sample 4 Permanent Registration (Registration Card) .......................................................................... 7
Sample 5 Permanent Registration (Registration Card) .......................................................................... 8
Sample 6 Permanent Registration (Registration Card) .......................................................................... 9
Not Acceptable Vehicle/Vessel Transfer and Reassignment Form ...................................................... 10
Not Acceptable DMV File Copy ............................................................................................................ 11
Complete Vehicle Purchase/Lease Agreement ........................................................................................... 12
Proof of Income (if selected for income verification) ................................................................................. 13
Sample IRS Form 4506-C ...................................................................................................................... 14
Proof of California Business ........................................................................................................................ 15
Tesla: Complete Vehicle Purchase Agreement ........................................................................................... 16
Acceptable Tesla document combinations: ............................................................................................ 16
Sample 1 Retail Installment Contract .................................................................................................. 17
Sample 2 Lease Agreement .................................................................................................................. 18
Sample 3 Motor Vehicle Purchase Agreement Final Price Sheet...................................................... 19
Sample 4 Motor Vehicle Purchase Agreement: Vehicle Configuration ............................................... 20
Sample 5 Delivery Declaration and Due Bill ......................................................................................... 21
Sample 6 Tesla Terms & Conditions ..................................................................................................... 22
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How can I avoid common submission mistakes?
Submitting incomplete or incorrect supporting documents is the most common reason that CVRP
applications are rejected. We are happy to help you resubmit corrected supporting documents, but
rejected applications take longer to process, delay approval, and may even result in having your
application cancelled. Use this checklist to help avoid the most common mistakes.
California Driver’s License
My driver’s license is not expired.
I can read all information.
I can see my entire driver’s license. (More information)
Proof of Registration
All information is visible on my registration.
If I am submitting my temporary registration, I have unfolded it so that my name and address
are visible. (More information)
Purchase/Lease Agreement
My purchase/lease agreement copy is complete from top to bottom, with no missing lines,
sections, or pages.
If I have a long purchase agreement, I’ve taken several scans and overlapped them so that some
information is duplicated on each page. (More information)
Proof of Income (only if selected for Income Verification)
All applicable sections are completed. (More information)
Prefilled data has not been edited.
One form has been submitted for each household member 18+ (if applicable)
All my supporting documents are:
Complete Portions of my document are not cut off or missing.
Legible I can read all information.
Correct I’ve viewed examples of correct supporting documents.
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California Driver’s License
The name on your driver’s license must match the name on the application form.
The address on your driver’s license does not need to match the address on your application
form.
Your driver’s license must be current at the time of application (not expired).
Please submit a complete, clear, and legible scan/photo of your driver’s license with all details
visible.
Samples:
The back of your driver’s license does not need to
be submitted:
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Proof of Registration
Satisfactory proof of vehicle registration includes temporary or permanent registration.
Your registration must be current at the time of application (not expired).
Please submit a complete, clear and legible scan/photo of your proof of registration with all
sections visible.
Please see samples of acceptable registrations on the following pages.
Note: Vehicle/Vessel Transfer Form and DMV File Copy are not an acceptable proof of registration.
Samples of unacceptable registrations are on the following pages.
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Sample 1 Application for Registration of New Vehicle (REG 397)
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Sample 2 New Vehicle Dealer Notice (Temporary Registration)
This registration is usually found in your windshield. Please be sure to unfold the registration so we can
see all parts in your scan.
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Sample 3 Permanent Registration (Registration Card)
Sample 4 Permanent Registration (Registration Card)
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Sample 5 Permanent Registration (Registration Card)
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Sample 6 Permanent Registration (Registration Card)
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Not Acceptable Vehicle/Vessel Transfer and Reassignment Form
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Not Acceptable DMV File Copy
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Complete Vehicle Purchase/Lease Agreement
Please submit a complete, clear and legible scan/photo with all details visible.
The copy of your purchase/lease agreement must be a final copy (executed and signed). Review
or pro-forma copies are not accepted.
Purchase/lease agreements look different depending on the dealership and the automaker.
The paper size of your purchase/lease agreement may be longer than a normal sheet of paper.
Please scan your purchase/lease agreement so that no sections are cut off.*
Please include all pages of your purchase/lease agreement.
*Long Purchase/Lease Agreement?
If you have a long purchase/lease agreement, you will need to take several scans and combine the
separate scans into one file.
We recommend overlapping your scans so that some information is duplicated on each page:
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Proof of Income (if selected for income verification)
Standard Rebate Applicants:
Standard rebate applicants selected* for income verification must submit IRS Form 4506-C,
Request for Transcript of Tax Return, as proof of income.
Increased Rebate Applicants:
Increased rebate applicants selected* for income verification must submit:
o A completed IRS Form 4506-C for every household member aged 18 and older
Additional documentation may be requested to provide complete details on income and
household size.
Important:
It is not necessary to submit proof of income unless you have been selected for income
verification.
A sample of IRS Form 4506-C is on the following page.
*Applications are usually selected for income verification when you apply. If you’ve been selected, you
will see a place to upload Proof of Income on your My Application page after you complete your online
application:
Applications may also be selected for income verification later in our review process. If you are selected
at a later time, we will send you an email with directions.
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Sample IRS Form 4506-C
Note: Only applicants selected for Income Verification need to complete this form.
CVRP has the prefilled version of this form located at cleanvehiclerebate.org/4506c.
All highlighted portions must be filled out.
Please submit a complete, clear, and legible scan/photo with all details visible.
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Proof of California Business
We can accept a copy of the formation document filed with the California Secretary of State
(Articles of Incorporation, Articles of Organization, Statement of Information, etc.), California
business license, or California business tax paid certificate as proof of California business.
Please submit a complete, clear and legible scan/photo of your document with all details visible.
Samples:
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Tesla: Complete Vehicle Purchase Agreement
Important:
For Tesla vehicles and other vehicles ordered without a standard lease/purchase agreement, the date of
first registration with the California DMV is considered the date of purchase or lease. If you applied
before the first date of your Tesla vehicle registration, please contact us to cancel this early
application. Applicants will need to re-apply if an application is submitted before this date.
There are several different combinations of documents that are acceptable as a complete purchase
agreement for Tesla. Please see combinations below and samples on pages 17-22. Documents must be
final copies (executed and signed). Review or “pro-forma” copies are not accepted. Samples 1-3 and 6-7
must be signed and dated.
Please submit a complete, clear and legible scan/photo with all details visible and include all pages.
Acceptable Tesla document combinations:
Option 1: One document from Column A
or
Option 2: All documents from Column B (electronically signed/time stamped)
or
Option 3: All documents from Column B (not signed; not time stamped) AND one signed
document from Column C
Column A
Column B
Column C
Sample 1
Retail Installment Contract
Sample 2
Tesla Lease Agreement
Sample 3
Tesla Conditional Sale
Contract and Security
Agreement
OR
Sample 4
Motor Vehicle Purchase
Agreement: Final Price Sheet
Sample 5
Motor Vehicle Purchase
Agreement: Vehicle Configuration
Sheet
Sample 6
Delivery Declaration and
Due Bill
Sample 7
Motor Vehicle Purchase
Agreement: Terms &
Conditions
*Proof of Order Date:
Proof of Order Date may be required in some circumstances.
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Sample 1 Retail Installment Contract
Note: This is a sample of
a first page only; your
agreement will be
multiple pages. Please
submit all pages.
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Sample 2 Lease Agreement
Note: This is a sample of
a first page only; your
agreement will be
multiple pages. Please
submit all pages.
Note: The agreement may be 3 or 5
pages.
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Sample 3 Motor Vehicle Purchase Agreement Final Price Sheet
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Sample 4 Motor Vehicle Purchase Agreement: Vehicle Configuration
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Sample 5 Delivery Declaration and Due Bill
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Sample 6 Tesla Terms & Conditions