Will the fog lamp cutouts line up with my factory lights?

Yes. The openings are pre-formed to match OEM fog lamp housings on this platform. Test-fit before final fastening to confirm alignment on your specific vehicle.

Does this cover come with the actual fog lamps installed?

The cover includes pre-cut openings for fog lamps, but the lamp housings themselves are not included. You'll need to source and install factory or compatible aftermarket fog light units.

What prep work is needed before paint?

Surface is primer-ready. Sand lightly with appropriate grit to promote paint adhesion, wipe clean, apply primer, then topcoat. Follow your paint manufacturer's instructions for prep and application.