Questions 1-18: Worksite Description and Contact Information

Questions 19-23: Employee Information - Your payroll office should be able to provide you with the number of employees who fit into these categories.  

Question 19:  Total number of employees (Enter the number of employees assigned to this work site only) - How do you know if someone is an employee?  People are employees if the organization withholds and pays payroll taxes, like Social Security, to the federal government.  Don’t include temporary employees or contract workers.

Question 20:  Total number of CTR-affected employees - The law defines a CTR-affected employee as "a full-time employee who begins his or her regular work day between 6:00 and 9:00 a.m. on at least two (2) or more weekdays for at least twelve continuous months. 
  

Questions 24-30:  ETC Information

Questions 31-42: Program Information and Promotion

Question 37:  Examples of local/county/state promotions/campaigns include but are not limited to “Wheel Options” and “Bike to Work Week.” 

Question 42:  Use the space to describe any changes the organization expects to make in its CTR program within the next 12 months.   Examples might be changes in transit subsidies, employee parking arrangements, telecommuting, flex time or compressed work week options.  For new CTR Programs, use this area to indicate program elements your worksite plans to implement in the next 6 months.

Questions 43-53: Worksite Characteristics

Questions 54-70:  Worksite Parking Information and Parking Management

Questions 57 & 58:  Employer Owned Parking - Include the total number of parking spaces that the employer owns and makes available for employees to use.  Don’t include parking that is rented or leased from a third party, like a building garage or surface parking lot, or parking spaces in the public right of way.

Questions 59-61: Leased Parking - Enter the total number of parking spaces that the employer leases and makes available for employees to use and the approximate cost per space included in your lease.

Questions 62-68:  Enter the amount employees are charged per month for parking

Question 69:  Use the blank space to describe how the organization manages and monitors parking at the work-site; this area can also be used to indicate if your organization does not provide any parking for employees. 

Question 70:  Use the blank space to describe changes the organization expects to make in parking arrangements within the next 12 months.

Questions 71-86: Financial Subsidies

Question 71 - For ORCA Passport, enter the number of cards distributed to employees. If you purchase monthly passes, enter the average number of passes purchased each month. For Passport, enter a maximum face (trip) value of $4.75
     a. If your organization pays for some or all of the cost of monthly transit passes or Passport enter the amount or percent covered.
     b-d. Most Passport programs include: bus, train (rail), vanpool, and vanshare subsidies and a Guaranteed Ride Home program (see question 102c). 

Questions 72, 73, 75 & 76
Enter subsidy information for these modes, if it is not given in the form of a pass as captured in question 71.
 
Question 74
Use this question to capture any ferry pass or subsidy you provide employees, excluding the King County Water Taxi service which accepts ORCA PugetPasses and Passport (captured in question 71).
 
Question 77
Use this question to describe any subsidy that you give employees to carpool, separate from discounted or free parking.

Question 80
If you give a subsidy amount to employees regardless of their commute mode, please check yes and indicate that amount.

Questions 81-84:  Tax credits and pre-tax payment options for employees - Indicate a tax credit (i.e. B&O tax) and pre-tax payment options for employees.

Question 85:  Describe any changes to transportation subsidies that your organization expects to make within the next 12 months.

Question 86:  Describe any additional incentives that your organization sponsors.  Examples might include prize drawings, temporary free or preferential treatment for carpool vehicles, and vanpool driver incentives.

Questions 87-92:  Site Amenities  - Check yes or no to indicate the facilities at your work site.

Questions 93-100:  Work Schedules and Schedule Changes - Provide information about flexible schedules, compressed work week details and telecommute arrangements.

Questions 101-105 Other Programs:

Question 101a: Only check yes if your company uses company owned fleet vehicles to provide your employees a Guaranteed Ride Home in case of emergency.
 
Question 102c: Check yes if your company offers a Guaranteed Ride Home program, and if the program is included in your Passport Program.

Question 102e: Check yes if you conduct ride-matching on a proactive basis for your employees.  Answer question 102f to indicate if you distribute public agency ride-match applications or forward www.RideshareOnline.com link to employees.

Questions 103-105:  Use the spaces to describe changes and other CTR activities and programs anticipated in the next 12 months.

Question 106: CTR Program Costs – Answering this question is optional.  The Washington Department of Transportation (WSDOT) added this question   in order to estimate the costs employers incur to administer the CTR program.  

Question 107: Report Preparation - Contact information for the person who prepared this program report. 

Employer Commitment & Signature Page:

!  The City of Seattle no longer requires ETCs and/or Program Managers to print this page, obtain the signature of the highest ranking official at the worksite, and submit it to the jurisdiction.  By submitting the program report electronically the ETC or Program Manager attests to the fact that he or she is acting under the authority and direction of the highest ranking official to exercise a good faith effort with respect to compliance with local and state CTR Laws.