Current Vehicle Inventory Year/Model Vehicle Vehicle ID # Vehicle Passenger/ Current Special Original Funding Replacing Type (VIN) License Wheelchair Mileage Equipment Source vehicle w/ Plate # Capacity this application? 2009/Example SB 2FDEE1234U567S890 SB14392 10/2 125,000 Lift-ramp Section 5310/DSS Yes No Vehicle 1 / Yes No Vehicle 2 / Yes No Vehicle 3 / Yes No Vehicle 4 / Yes No Vehicle 5 / Yes No Vehicle 6 / Yes No Vehicle 7 / Yes No Vehicle 8 / Yes No Vehicle 9 / Yes No Vehicle / Yes No 10 Vehicle / Yes No 11 Vehicle / Yes No 12 Vehicle / Yes No 13 Vehicle / Yes No 14 Vehicle / Yes No 15 Vehicle / Yes No 16 Vehicle / Yes No 17
Current Vehicle Inventory Year/Model Vehicle Type Vehicle ID # (VIN) Vehicle License Plate # Passenger/ Wheelchair Capacity Current Mileage Special Equipment Original Funding Source Replacing vehicle w/ this application? 2009/Example SB 2FDEE1234U567S890 SB14392 10/2 125,000 Lift-ramp Section 5310/DSS Yes No Vehicle 1 / Yes No Vehicle 2 / Yes No Vehicle 3 / Yes No Vehicle 4 / Yes No Vehicle 5 / Yes No Vehicle 6 / Yes No Vehicle 7 / Yes No Vehicle 8 / Yes No Vehicle 9 / Yes No Vehicle 10 / Yes No Vehicle 11 / Yes No Vehicle 12 / Yes No Vehicle 13 / Yes No Vehicle 14 / Yes No Vehicle 15 / Yes No Vehicle 16 / Yes No Vehicle 17 / Yes No
FFY_2017_-_Traditional_5310_Grant_Application.docx