Diesel Replacement Rebate Application

Refer to the Program Guide for program requirements. Please submit one application per project. Applicants with multiple projects may submit multiple applications. Employees and contractors/sub recipients of the Hawaii Department of Health or the Hawaii State Energy Office are not eligible.

Diesel Replacement Rebate Application

  • Please note that project information may be shared with all funding parties.
  • Applicant Information

  • Existing Vehicle

    Please complete one application per vehicle being replaced.
  • Class 5 (16,001 -19,500 lbs GVWR); Class 6 (19,501 -26,000 lbs GVWR); Class 7 (26,001 -33,000 lbs GVWR); Class 8 (33,001 lbs GVWR and over)
  • Replacement Vehicle

    Please read the Program Guide for to ensure replacement unit qualifies for funding.
  • The quote(s) should be dated and include a complete breakdown of all material costs as applicable: vehicle, hardware, warranty costs, freight or shipping costs, installation costs, setup fees, and the sales tax with the percentage rate indicated.
    Drop files here or
    Accepted file types: pdf, jpg, png.
  • Replacement vehicles should resemble the original in form and function. Additional features may be added at owner’s expense. Please list all additional and optional equipment or attachments separately in a line item format.
    Drop files here or
    Accepted file types: pdf, jpg, png.
  • If you plan to purchase a charger to accompany the vehicle, please fill out the following. This will be part of overall project value.

  • Drop files here or
    Accepted file types: pdf, jpg, png.