Green Freight Assessment Program: Application Form

You are applying to receive funding towards a third-party fleet assessment project

Company Information

Company Name (required)

Legal Business Name (required)

Business Number (required)

Address (business headquarters) (required)

Province or Territory (required)

City (required)

Postal Code (required)

Contact Name (required)

Title (Work Position) (required)

Phone (Work) (required)

E-mail (Work) (required)

Name of Signatory (required)

Title of Signatory (required)

Employee Composition

% of staff employed identified as Indigenous

% of women employed

Total Number of Employees (required)

Business Operation

Range of Service Delivery/Operation (required)
(select multiple items)

Total Company Fleet Size (required)

Participation in Sustainability Initiatives (required)
(select multiple items)

Are 50% or more kilometres of your fleet driven in Canada? (required)

Fleet Portrait

Fleet size being considered for assessment (required)

Number of trailers (required)

Average truck age (required)

Average truck lifecycle (required)

Truck Class

Number of trucks

Total number of Medium duty trucks (Class 5,6) (required)

Total number of heavy duty trucks (Class 7,8a, 8b) (required)

Total

Carrier Service Type (required)
(select multiple items)

“Private” if the fleet is primarily hauling for the parent company (however, occasional backhauls are allowable in this designation). “Dedicated” if the fleet is primarily reserved for one customer (however, occasional backhauls are allowable in this designation). Otherwise, select “For-Hire”

Body type (required)
(select multiple items)

Does your company use Electronic Management Technology? (required)

What percentage of the fleet is equipped with the Electronic Management Technology?

If yes, what are the functions of your EMT?
(select multiple items)

Previous Assessment Experience & Readiness

Has your fleet been assessed in the past? (required)

What year was the last assessment completed?

Please describe any actions taken in response to recommendations from previous assessment(s)

Please explain what you wish to accomplish by receiving a fleet energy assessment. (required)
-What areas of your current fleet do you wish to improve?
-Elaborate on the environmental impacts you aim to achieve through this assessment.
-What investment options are you interested in exploring through your assessment?
-Based on your conversations with your Assessor, when do you expect to start the assessment, and when do you expect it to be completed?

Please describe the availability of the data required for an assessment. (required)
-Do have a project lead who will manage the assessment?
-Are you able to provide the required data to Assessor in the expected time-frame?
-Do you track your data through telematics or is it manually reported?

Please describe your financial readiness. (required)
-Is there support from senior management to move forward with this project?
-Has the budget been approved by senior management?

Elaborate on your anticipated timeframe for implementing your assessment recommendations (required)
-What is your timeline to invest in the retrofits/fuel switching options?
-Does this timeline change should your project be selected to receive financial assistance?
-Is there support from senior management to move forward with implementing assessment recommendations?

Quote Upload (required) (Maximum size 4MB)

I understand that NRCan will review the application and could contact us for further clarifications.

I confirm that our organization possesses the management, financial and technical resources to fulfil the project.

I, the undersigned, declare that the information provided in this application is accurate and complete.

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Green Freight Assessment Program: Application Form

You are applying to receive funding towards a third-party fleet assessment project