Administrative Forms - Carl Moyer Program & Community Air Protection Incentives | California Air Resources Board

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Administrative Forms - Carl Moyer Program & Community Air Protection Incentives

Completed and signed forms should be submitted electronically as PDFs to the assigned contact listed below.

Form	Contact
Carl Moyer Program Disbursement Request Form	MSCD Grants
CAP Incentive Advance Payment Form	MSCD Grants
Redirection Form and Return of Funds Form	Deborah Paselk
Solicitation Application	MSCD Grants
Carl Moyer Program Yearly Report Certification Form	C arlHelp
CAP Incentive Mid-Cycle Report Certification Form	AB617 Incentives
CAP Incentive Yearly Report Certification Form	AB617 Incentives

Carl Moyer Program Forms and Resource Documents

Carl Moyer Program General Administration Forms
Carl Moyer Program Grant Disbursement Request Form
Carl Moyer Program Redirection of Funds to Another District Form (MSCD/ITAB-078)
Carl Moyer Program Returns of Funds Form (MCSD/ITAB-161)
Carl Moyer Program 2021 Yearly Report Certification Form (MSCD/ITAB-077)

Carl Moyer Program General Administration Resource Documents
Carl Moyer Program Fund Allocation Process
Model Resolution for Air District Participation in the Carl Moyer Program
Program and Fiscal Reviews - Policies and Procedures

Carl Moyer Program Solicitation Fiscal Year 2021-2022 (Year 24)
Carl Moyer Program Solicitation Memo Fiscal Year 2021-2022 (Year 24)
Carl Moyer Program Tentative Allocation Fiscal Year 2021-2022 (Year 24)
Carl Moyer Program Application Form (MSCD/ITAB-099)

Carl Moyer Program - State Reserve Solicitation Fiscal Year 2021-2022 (Year 24)
Carl Moyer Program - State Reserve Solicitation Fiscal Year 2021-2022 (Year 24) - Coming Soon
Carl Moyer Program - State Reserve Application Form (MSCD/ITAB-152)

Community Air Protection (CAP) Incentives Forms and Resource Documents

CAP Disbursement Request Forms
Advance Payment Request Form (ASD/BFB-365) - REQUIRED
Supplement to CARB's Advance Payment Request Form (MSCD/ITAB-194) - REQUIRED
Model Project List for CAP Incentives for Advance Payment Request - Coming Soon

CAP Reporting Forms
CAP Incentives 2021 Mid-Cycle Report Certification Form (MSCD/ITAB-195) - May also be downloaded from CARL Database
CAP Incentives 2021 Yearly Report Certification Form (MSCD/ITAB-192) - May also be downloaded from CARL Database
CAP Incentives Jobs-Outreach Reporting Template (MSCD/ITAB-191) - May also be downloaded from CARL Database