Requesting Change in CTR Status to Non-Affected or Voluntary

Non-affected/Voluntary Request

There are many reasons a worksite may request to change their CTR Status such as worksite relocation, reduction of workforce, or consolidation of offices.

If a previously-affected CTR worksite no longer employs one hundred (100) or more affected employees and expects not to employ that number of affected employees for the next twelve (12) months, the City shall consider that worksite no longer to be a non-affected employer beginning thirty (30) days after written notice is provided to the Department of its change in status.

When a worksite is no longer affected by the state CTR law, they can chose to be:

A voluntary worksite, meaning you will still have access to the CTR survey and all of Commute Seattle's resources and programming, or

A non-affected worksite, meaning you will not be invited to survey your employees and will not included in CTR-specific programming and events.

Filling out the form below will serve as an official request to become a voluntary or non-affected worksite.

Question Title

* 1. Worksite Name:

Other (please specify)

Question Title

* 2. Employee Transportation Coordinator Information

Name:

Address:

Email:

Phone:

Question Title

* 3. Number of CTR-affected (full-time, first shift) employees at this worksite

If this worksite returns to the level of one hundred (100) or more affected employees within the next twelve (12) months, the worksite will be considered an affected worksite for the entire twelve (12) month period and will be subject to the same program requirements as other affected worksites.

If this worksite returns to the level of one hundred (100) or more affected employees more than twelve (12) months after changing status from an affected worksite to an unaffected worksite, this worksite shall be considered an affected worksite beginning thirty (30) days after its return to affected status or January 1 of the following calendar year, whichever is earlier.

Question Title

* 4. Request:

To become a voluntary worksite. Continue to be invited to SDOT and Commute Seattle CTR related programming (Recommended)

To become a non-affected worksite. My worksite will no longer be invited to programming.*

*Commute Seattle and/or SDOT may contact this worksite in in the future to confirm employee counts and confirm non-affected status.

Question Title

* 5. What is the reason for your request to change CTR Status

Relocation (moving out of the City of Seattle)

Reduction of workforce to below 100 CTR-affected employees

Worksite has closed permanently

Employees have been moved to another location

Worksite has merged with another CTR-affected worksite

Other (please specify)

Question Title

* 6. Please type your name:

Typing your name in the box above and submitting this form will serve as written notification to Commute Seattle and the Seattle Department of Transportation that your worksite is requesting a change in its Commute Trip Reduction. You will be considered an affected worksite until official notice is provided by SDOT about the change in CTR status.