Vehicle Model
- Select - Honda Clarity Fuel Cell Nissan LEAF Zero DS Zero S Zero FX Zero SR BMW i3 BMW i3 REx Toyota Mirai Fuel Cell Vehicle Zero FXS Zero DSR Chevrolet Bolt EV Chrysler Pacifica Hyundai Ioniq Electric Tesla Model 3 Energica Eva Energica Ego Honda Clarity Plug-In Hybrid BMW i3s BMW i3s REx Hyundai Nexo Hyundai Kona Electric Kia Niro Electric Zero SR/F EMV Auto Solo Nissan LEAF Plus Harley-Davidson LiveWire MINI Cooper SE Tesla Model Y Zero SR/S Toyota RAV4 Prime Ford Escape Plug-In Hybrid Polestar 2 Ford Mustang Mach-E Volvo XC40 Recharge Volkswagen ID.4 Arcimoto FUV Mazda MX-30 EV Hyundai Tucson PHEV Hyundai Santa Fe PHEV Kia Sorento PHEV LiveWire LiveWire ONE Chevrolet Bolt EUV Zero FXE Hyundai Ioniq 5 Volvo C40 Recharge Kia EV6 Lexus NX 450h+ Ford F-150 Lightning Toyota bZ4X Volvo XC60 Extended Range Kia Sportage PHEV Mercedes Benz EQB 300-4M Mercedes Benz EQB 350-4M Audi Q4 e-tron Sportback Quattro Audi Q4 e-tron Kia Niro PHEV Nissan Ariya Subaru Solterra Mitsubishi Outlander PHEV Cadillac Lyriq Debut Edition Zero DSR/X-ZF17.3 VinFast VF8 Hyundai Ioniq 6 Lexus RZ450e Mercedes Benz EQB 250+ Toyota Prius Prime Cadillac Lyriq LiveWire S2 Del Mar Chevrolet Blazer EV Fisker Ocean
CA Driver License Number
“Rental fleet” means a fleet categorized under the North American Industry Classification System (NAICS) as an establishment engaged in renting passenger cars without drivers, generally for short or long periods of time (2007 NAICS code 532111 and 532112).
“Car share fleets” are vehicle fleets solely composed of car sharing vehicles. These vehicles are under common ownership or fiduciary control, including, but not limited to, entities sharing a common Taxpayer Identification Number (TIN). For CVRP purposes, even if the car share fleets are part of different subsidiaries or divisions of an organization, including but not limited to entities sharing a common TIN, they are considered a single fleet. The organization owning the rebated car sharing vehicles must own and operate the car sharing program and use the rebated vehicles exclusively for car sharing purposes. "Car sharing" means a model of vehicle rental where users can rent vehicles for short periods of time and users are members that have been pre-approved to drive.
Tax Identification Number
Please enter one name only. The applicant name must match the name on the purchase or lease agreement and must be listed in the vehicle’s registration. Applicants who submit an application with an incorrect applicant name will need to re-apply. Please enter the name of the authorized representative applying on behalf of the organization/entity.
Phone
Applicant Email
All notifications about your rebate will be delivered to this email address.
Re-enter Email
Applicant Password
Password
Confirm password
Please create a password to log back into your CVRP account.
State
Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip Code
Mailing Street
Mailing City
Mailing State
- Select - Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Mailing Zip Code
VIN
Vehicle Year
- Select - 2024 2023 2022 2021 2020
Lease Term
- Select - 24 or less 30 36 39 48 60 72 84 Other
Please enter your lease term in months (e.g. 48).
Leased vehicles with lease terms less than 30 months are ineligible to participate in the CVRP. If you are attempting to apply under the Reduced Ownership Provision available to car share and rental fleets, please contact CVRP Staff at 866-984-2532.
Dealer Contact Person (Optional)
Dealership Name
Dealer Phone (Optional)
Dealer Contact Title (Optional)
Federal Tax Filing Status
- Select a value - Single Married Filing Jointly Married Filing Separately Head of Household Qualifying Widow(er) with Dependent Child
For Married Filing Jointly, please verify that the Gross Annual Income entered above includes the total income reported on your tax return for both you and your spouse.
Are you (the Applicant) 18 years of age or older?
- Select - Yes No
Not including yourself, how many members of your household are 18 years of age and older?
- Select - 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
Not including yourself, how many members of your household are 17 years of age and younger?
- Select - 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
Total Household Size
- Select a value - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41
Total Household Size is based on responses entered above. Please review for accuracy.
Total Household Income
Please provide your household's total annual gross income. For the purposes of CVRP, gross annual income includes that of the applicant and all other individuals in the household, ages 18 and older, regardless of whether or not they are related to the rebate applicant. Individual gross annual income is defined under the Gross Annual Income dropdown above.
Do you currently participate in one or more of the public assistance programs on CVRP's Categorical Eligibility List?
- Select - Yes No Unsure
Do you have a dated acceptance letter showing current participation in the program(s) you selected?
- Select - Yes No Unsure
If multiple programs were selected, please answer “yes” if you can provide a dated acceptance letter showing current participation in at least one program.
Have your 2022 taxes been filed and processed by the IRS?
- Select - Yes No Unsure
Note: If you recently filed an extension and it has not yet been processed by the IRS, please answer No.
Have your 2021 taxes been filed and processed by the IRS?
- Select - Yes No Unsure
Name of Household Member 2
Have this household member's 2022 taxes been filed and processed by the IRS?
- Select - Yes No Unsure
Note: If they recently filed an extension and it has not yet been processed by the IRS, please answer No.
Have this household member's 2021 taxes been filed and processed by the IRS?
- Select - Yes No Unsure
Name of Household Member 3
Have this household member's 2022 taxes been filed and processed by the IRS?
- Select - Yes No Unsure
Note: If they recently filed an extension and it has not yet been processed by the IRS, please answer No.
Have this household member's 2021 taxes been filed and processed by the IRS?
- Select - Yes No Unsure
Name of Household Member 4
Have this household member's 2022 taxes been filed and processed by the IRS?
- Select - Yes No Unsure
Note: If they recently filed an extension and it has not yet been processed by the IRS, please answer No.
Have this household member's 2021 taxes been filed and processed by the IRS?
- Select - Yes No Unsure
Name of Household Member 5
Have this household member's 2022 taxes been filed and processed by the IRS?
- Select - Yes No Unsure
Note: If they recently filed an extension and it has not yet been processed by the IRS, please answer No.
Have this household member's 2021 taxes been filed and processed by the IRS?
- Select - Yes No Unsure
Name of Household Member 6
Have this household member's 2022 taxes been filed and processed by the IRS?
- Select - Yes No Unsure
Note: If they recently filed an extension and it has not yet been processed by the IRS, please answer No.
Have this household member's 2021 taxes been filed and processed by the IRS?
- Select - Yes No Unsure
Name of Household Member 7
Have this household member's 2022 taxes been filed and processed by the IRS?
- Select - Yes No Unsure
Note: If they recently filed an extension and it has not yet been processed by the IRS, please answer No.
Have this household member's 2021 taxes been filed and processed by the IRS?
- Select - Yes No Unsure
Name of Household Member 8
Have this household member's 2022 taxes been filed and processed by the IRS?
- Select - Yes No Unsure
Note: If they recently filed an extension and it has not yet been processed by the IRS, please answer No.
Have this household member's 2021 taxes been filed and processed by the IRS?
- Select - Yes No Unsure
Name of Household Member 9
Have this household member's 2022 taxes been filed and processed by the IRS?
- Select - Yes No Unsure
Note: If they recently filed an extension and it has not yet been processed by the IRS, please answer No.
Have this household member's 2021 taxes been filed and processed by the IRS?
- Select - Yes No Unsure
Name of Household Member 10
Have this household member's 2022 taxes been filed and processed by the IRS?
- Select - Yes No Unsure
Note: If they recently filed an extension and it has not yet been processed by the IRS, please answer No.
Have this household member's 2021 taxes been filed and processed by the IRS?
- Select - Yes No Unsure
Name of Household Member 11
Have this household member's 2022 taxes been filed and processed by the IRS?
- Select - Yes No Unsure
Note: If they recently filed an extension and it has not yet been processed by the IRS, please answer No.
Have this household member's 2021 taxes been filed and processed by the IRS?
- Select - Yes No Unsure
Name of Household Member 12
Have this household member's 2022 taxes been filed and processed by the IRS?
- Select - Yes No Unsure
Note: If they recently filed an extension and it has not yet been processed by the IRS, please answer No.
Have this household member's 2021 taxes been filed and processed by the IRS?
- Select - Yes No Unsure
Name of Household Member 13
Have this household member's 2022 taxes been filed and processed by the IRS?
- Select - Yes No Unsure
Note: If they recently filed an extension and it has not yet been processed by the IRS, please answer No.
Have this household member's 2021 taxes been filed and processed by the IRS?
- Select - Yes No Unsure
Name of Household Member 14
Have this household member's 2022 taxes been filed and processed by the IRS?
- Select - Yes No Unsure
Note: If they recently filed an extension and it has not yet been processed by the IRS, please answer No.
Have this household member's 2021 taxes been filed and processed by the IRS?
- Select - Yes No Unsure
Name of Household Member 15
Have this household member's 2022 taxes been filed and processed by the IRS?
- Select - Yes No Unsure
Note: If they recently filed an extension and it has not yet been processed by the IRS, please answer No.
Have this household member's 2021 taxes been filed and processed by the IRS?
- Select - Yes No Unsure
Name of Household Member 16
Have this household member's 2022 taxes been filed and processed by the IRS?
- Select - Yes No Unsure
Note: If they recently filed an extension and it has not yet been processed by the IRS, please answer No.
Have this household member's 2021 taxes been filed and processed by the IRS?
- Select - Yes No Unsure
Name of Household Member 17
Have this household member's 2022 taxes been filed and processed by the IRS?
- Select - Yes No Unsure
Note: If they recently filed an extension and it has not yet been processed by the IRS, please answer No.
Have this household member's 2021 taxes been filed and processed by the IRS?
- Select - Yes No Unsure
Name of Household Member 18
Have this household member's 2022 taxes been filed and processed by the IRS?
- Select - Yes No Unsure
Note: If they recently filed an extension and it has not yet been processed by the IRS, please answer No.
Have this household member's 2021 taxes been filed and processed by the IRS?
- Select - Yes No Unsure
Name of Household Member 19
Have this household member's 2022 taxes been filed and processed by the IRS?
- Select - Yes No Unsure
Note: If they recently filed an extension and it has not yet been processed by the IRS, please answer No.
Have this household member's 2021 taxes been filed and processed by the IRS?
- Select - Yes No Unsure
Name of Household Member 20
Have this household member's 2022 taxes been filed and processed by the IRS?
- Select - Yes No Unsure
Note: If they recently filed an extension and it has not yet been processed by the IRS, please answer No.
Have this household member's 2021 taxes been filed and processed by the IRS?
- Select - Yes No Unsure
Name of Household Member 21
Have this household member's 2022 taxes been filed and processed by the IRS?
- Select - Yes No Unsure
Note: If they recently filed an extension and it has not yet been processed by the IRS, please answer No.
Have this household member's 2021 taxes been filed and processed by the IRS?
- Select - Yes No Unsure
What is your age?
- Select - 16-20 21-29 30-39 40-49 50-59 60-69 70-79 80+ Prefer not to answer
Are you Hispanic or Latino?
- Select - Yes No Prefer not to answer
How do you prefer to describe your gender?
- Select - Female Male Nonbinary Transgender Not listed Prefer not to answer
Statewide Consumer Assistance Program (CAP) - Vehicle Retirement
- Select - Already applied Plan to apply Not eligible to apply Haven't heard of this program
San Joaquin Valley Drive Clean! Rebate Program
- Select - Already applied Plan to apply Not eligible to apply Haven't heard of this program
Local Air District Vehicle Buy Back Program
- Select - Already applied Plan to apply Not eligible to apply Haven't heard of this program
Replace your Ride (South Coast AQMD)
- Select - Already applied Plan to apply Not eligible to apply Haven't heard of this program
Dealership Salesforce ID
Please type your name for your electronic signature
Only the applicant or an authorized representative may electronically sign this application. This name must match the First and Last name on the application.