Conference Fund and AQ Fund Reimbursement 25-26

REIMBURSEMENT FORM - Conference Funding & AQ Funding

Full Name*

Non-Board Email Address*

example@gmail.com

School / Worksite Location:*

Is this a reimbursement for Conference Funding or AQ Funding?*

Conference FundingAQ Funding

Please drag and drop the photo(s) of your conference fee receipt.

Total amount to be reimbursed (not to exceed annual maximum)*

Name for the cheque to be made out to (name to appear on the cheque)*

Any other comments (if you are not at a school, please indicated where the cheque can be sent).*

Please allow up to 4 weeks to receive reimbursement.

If you still have not received reimbursement, please contact the District 16 T/OT Office.