Get Existing (old) Equipment Status Form - Valleyair.org

Completing the Existing (Old) Equipment Status Form is essential for ensuring a smooth process for your equipment replacement claims. This guide will provide detailed instructions for each section of the form to help you navigate the process online with confidence.

Follow the steps to correctly fill out the Existing (Old) Equipment Status Form.

1. Press the ‘Get Form’ button to access the form and open it in your preferred online document editor.
2. Begin by entering your project number in the designated field. This information is crucial for identifying your related claims.
3. In the 'Project Contact Name' field, print your full name clearly. This provides a reference point for program staff.
4. Fill in your phone number, ensuring to include the area code. This contact information will help expedite any necessary communication.
5. If applicable, provide your fax number in the designated area. This may be used for official correspondence.
6. Enter the Existing (Old) Equipment Identification Number (EIN) in the specified field for proper identification.
7. In the 'Engine Serial Number (ESN)' field, input the serial number of the equipment's engine, which is required for verification.
8. Complete the section regarding the dismantling facility by providing the facility name, address (including street number, city, state, and zip code), and contact name.
9. Add the facility's phone number and fax number if available, which will assist in any follow-up necessary concerning the equipment.
10. Include an email address for further correspondence and confirmation related to your submission.
11. Ensure that the 'Contract Signing Authority Name' is printed clearly, along with their title. This person must be authorized to sign the document.
12. The contract signing authority must sign the form in blue ink, as this is a requirement for acceptance.
13. Finally, add the date of signing to complete the form. Remember, only original signatures will be accepted.
14. Review the completed form for accuracy. Once verified, you can save your changes, download a copy, print the document, or share it as necessary.

Complete your documentation online today to ensure a smooth process for your equipment replacement claims.