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Rebate Form

  1. CAGBN in partnership with CalEPA is pleased to offer rebates of up to $500 per standard business or $1,000 for match eligible businesses
  2. Coordinators may submit up to $250 at the completion of entry level and the rest at the completion of full certification. 
  3. The expenses must be incurred during the business’s certification and forms must be submitted by June 30th, 2024.
  4. Businesses that certify by November 30, 2023 can access double the funds listed above as long as rebate forms are submitted no later than November 30, 2023
  5. Rebates are subject to availability of funds. Check Basecamp Wiki for records. 
If there is more than one location seeking a rebate, designate the location, e.g, Starbucks - Broadway.
CAGBN CAN REBATE ONLY UP TO $1,000 PER BUSINESS ($2,000 for eligible businesses) - REMINDER: These doubled amounts are for rebates submitted no later than November 30, 2023
Click or drag a file to this area to upload.
Blank forms are available at https://www.irs.gov/pub/irs-pdf/fw9.pdf
Click or drag files to this area to upload. You can upload up to 10 files.
Upload all your receipts here. Use smaller file sizes for faster upload speeds.
Your signature serves to verify that all the information contained in this form is accurate and in accordance with the rules of the CAGBN Rebate Program as outlined above.