State of California

M E M O R A N D U M



To:     PERSONNEL MANAGEMENT LIAISONS          Date: July 16, 1993
                                     Reference Code: 93-46
        THIS MEMORANDUM SHOULD BE DISTRIBUTED TO:

             Employee Transportation Coordinators
             Accounting Officers


From:   Department of Personnel Administration


Subject:     Vanpool Driver Payment Program



As you know, HR 776, the Comprehensive National Energy Policy Bill, revised the Internal Revenue Code last year to permit employers to provide their employees with a tax-free benefit of up to $60 per month for transit passes, vanpooling, and carpooling.  The State now provides a $50 per month vanpool subsidy which is subject to these provisions.  

The State Controller's Office has informed us that to qualify for the tax-free vanpooling benefit, vanpool drivers must certify that:  1) the van's seating capacity is at least six adults (not including the driver); 2) at least 80 percent of the vehicle's mileage use is for purposes of transporting employees in connection with travel between their residences and their place of employment; and 3) trips during which the number of employees transported for such purposes is at least 50 percent of the adult seating capacity of such vehicle (not including the driver).  

Please note that the Vanpool Driver Payment Form has been revised to incorporate this certification.  Please see that each eligible vanpool driver completes and signs the revised form.   This form should be maintained within your agency in the same manner as the previous Vanpool Driver Payment Form.

If you have any questions, please contact Sydney Perry at (9l6) 445-9244 or 
ATSS 485-9244.




Wendell M. Coon, Chief
Policy Development Office


Attachment






                            STATE OF CALIFORNIA
                 VANPOOL DRIVER PAYMENT FORM/CERTIFICATION


To qualify for the vanpool driver payment program established by Executive Order D-73-88, all of the conditions prescribed below must be met.  To certify this, initial each condition in the space provided; also provide and initial the other information requested.  In addition, read and sign the statement at the bottom of the form.  

                                                          Initial

1.  I am a State employee and commute in a van that regularly 
    carries ____ passengers to and from work.  (To qualify, 
    the van must  have 7 to 15 regular passengers.)  The van 
    has operated since _______________.                   ______

2.  The license number of the van is _______________.     ______

3.  The owner of the van is _________________________________.   ______

4.  I am either the:  [initial 4(a) or 4(b)]

    (a) only regular driver of the van or                 ______
    (b) the driver of the van who is also the van coordinator    ______

    I have been 4(a) or 4(b) since _______________.  

5.  To the best of my knowledge, I will be the only 
    participant in my vanpool receiving the $50 payment under 
    this program.                                         ______

6.  The attached roster of the participants in my vanpool is 
    current and correct.                                  ______

7.  I possess a currently valid California driver's license.  
    (CDL # ______________)                                ______

8.  I possess a valid medical certificate, as required to 
    operate the van by the Vehicle Code.  (For vans that 
    carry 10 or more passengers.)                         ______


                            For Non-State Vans

9.  To the best of my knowledge, the van is in safe 
    operating condition.                                  ______

  10.   The van is covered by an insurance policy that provides 
    at least the minimum liability coverage required by law.
    (It is also recommended that employees consult with their 
    insurance carriers regarding the need for additional 
    liability coverage.)  ______

                                  (Over)

                             IRS Certification

  11.   I certify that the seating capacity is at least six 
    adults (not including the driver), at least 80 percent 
    of the vehicle's mileage use is for vanpooling between 
    employee residences and work, and the minimum number of 
    adults riding in the van during such trips is at least 
    50 percent of this van's capacity.                    ______



I am a vanpool driver by personal choice and do not regard van driving as a work assignment by my employer.  I certify that my responses to this form are true and correct and will notify my personnel office within 15 days of any changes in the above information.  I understand that failure to meet any one or more of the conditions for the program will make me ineligible to receive the vanpool driver payments.  I further understand that I will be obligated to return any improperly received payment and that any purposeful misuse of this program is cause for disciplinary action.  


                                      ________________________________________
                                      Collective Bargaining Designation (CBID)


______________________________________________________________________________
  Employee Signature                              Date


__________________________________________________(_____)_____________________
  Home Address                                    Telephone Number


__________________________________________________(_____)_____________________
  Work Address                                    Telephone Number





                            STATE OF CALIFORNIA
                      VANPOOL DRIVER PAYMENT PROGRAM
                              VANPOOL ROSTER





                                   Name
                               Home Address
                               Work Address
                              Work Telephone