• Electric Vehicle Replacement Assistance Program (EVRAP)

    Application

  • Section 1: Vehicle Owner

  • Format: 000-000-0000.

  • Section 2: Vehicle Owner Income Information

  • Household income must be less than or equal to 500% of the current federal poverty guideline for the household size.

  • Section 3: Vehicle Information

    For vehicle being turned in

  • To qualify for EVRAP, vehicle must have been registered in Utah at least 1 year and within the last 12 months.

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  • VIN may not contain the letters I, O, or Q.

  • Fuel Type*
  • When will/did vehicle's registration expire?*
     - -

  • Section 4: Signature

    and Privacy Notice
  • Submission Date and Time
     - -

  • Drawing or typing your name below serves as your signature for this application and is legally binding.

    By signing below, I acknowledge that I have reviewed and understand Salt Lake County Health Department's privacy notice related to the collection of personally identifiable information.

    I further certify that the information I have provided in this application is complete, accurate, and true. I understand that falsification of this information and/or related documentation may result in termination from, or denial of application for, the Electric Vehicle Replacement Assistance Program (EVRAP).

    I acknowledge that all information I have provided is subject to verification.

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