Agency Name

Name of Online Service

URL to Online Service

Prior to providing this online service to your constituents, how many sheets of paper did your agency use per transaction to conduct the service? (examples of sheets of paper include: paper form for renewals, envelopes, and renewal notices)

How many transactions has your agency conducted since 2007 or when the system went live? (which ever the lesser)

When did the online service launch?

Please report other valuable “Green” savings your agency benefits from this online service?

Agency Representative’s Name

Title

Phone Number

Email