ACVO/ABVO Reimbursement Request Form

Submit for reimbursement online using this online digital form. Complete the summary expense spreadsheet (in Excel) and attach the expense sheet and a digital file of all scanned receipts, and submit it to the ACVO office for review after the expense date has occurred.

Only complete requests will be processed, allow 2-3 weeks for repayment. Please contact the ACVO with any questions.

I am requesting reimbursement for the following (choose only one):*

ACVO/ABVO Board MemberACVO/ABVO Committee MemberResident submitting request for Basic Science Course reimbursement (course must have already been attended/completed)Resident submitting request for ACVO Vision for Animals course reimbursement (course must have already been attended/completed)ACVO Conference Speaker reimbursement

If you are a current ACVO or ABVO Board or Committee Member, please list the name of the committee or board:

Will the reimbursement be paid to:*

A company or your supervisorYourself

Your email address:*

example@example.com

Total (in USD) to be reimbursed:*

Please provide the name the check should be payable to:*

Address where to mail reimbursement check (required for US reimbursements, not required for international reimbursements):

Street Address

Street Address Line 2

CityState

Postal Code

UPLOAD FORMS
Please complete and attach a summary form of expenses, along with a digital copy of the receipts.

Excel reimbursement form

Attach completed summary reimbursement Excel spreadsheet from the form linked above.*

Attach copies of receipts. Then click submit below.*

If you are requesting reimbursement in the United States, please skip the next section and click on the green submit button at the bottom of the form.

International Reimbursements (complete this section ONLY for international reimbursements)

International reimbursements need to be reimbursed via Wire Transfer, please include banking information below to process the wire transfer.

Checks will not be cut for international reimbursements. Should you have any questions, please contact the ACVO office (office@acvo.org).

Name for Wire Transfer Payee:

Company or personal name to be paid to

Personal or Company Address for Wire Transfer

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Bank Name:

Bank Address for Wire Transfer:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Bank SWIFT or BIC:

Bank Account Number:

Select the submit button below.
Reimbursements will be processed within two weeks. You will receive a copy of this form in your inbox. Contact the ACVO with any questions.