Vermont eBike Dealer Voucher Submission Form
Thank you for being a participating retailer in the State of Vermont eBike Incentive Program. Per the Retailer Participation Agreement terms, please submit the following information within 30 days of a voucher being redeemed.
Please have the following information available to complete this submission form (acceptable file formats for uploading: png, gif, jpg, jpeg, pdf, doc, docx):
- Sales Receipt. If the consumer’s name is not listed on the Sales Receipt, other sales documentation should be provided with the application. The sales receipt must include the following information:
- Sales Date
- Sale Price (before tax)
- eBike Make
- eBike Model
- eBike Serial Number/Unique ID (if applicable)
- Applied incentive amount
Please click next to begin your submission form.