EverCurious Invoice Request Form

EverCurious Invoice Request Form

Please fill out this form to request an invoice for EverCurious online programs or services. Have your funding details and recipient information ready.
Families using ESA, EFA, Children’s Scholarship Fund, Hope Scholarship, or other approved education funds are responsible for confirming eligibility and allowable expenses with their program.
Parent/Guardian Full Name

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Child's Full Name

First NameLast Name
Child’s Age or Grade
State or Country
Funding/Payment Type
Which service are you requesting an invoice for?
If requesting individualized sessions, how many sessions would you like invoiced?
Student/Recipient Name (exactly as it should appear on the invoice)
Billing Name (exactly as it should appear on the invoice)
Billing Address (if required by your funding program)

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Required wording or documentation your program needs (please specify any required language or details)
Anything else we should know?
Upload funding instructions or required documents (optional)

Cancelof
Should be Empty: