Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.General InstructionsThis form is only used by a BVA member after you have been approved for reimbursement to attend one of the National VA Clinics. Use this form to submit proof of attendence and receipts Proof to Subject Name *FirstLastEmailBVA Membership ID Number *Event *National Disabled Veterans Winter Sports ClinicNational Veterans Creative Arts FestivalNational Veterans Golden Age GamesNational Veterans Summer Sports ClinicNational Disabled Veterans Golf ClinicNational Veterans Wheelchair GamesAmount Requested *Please enter an amount up to $500 that you would like to be reimbursed for.Proof of Attendance * Drag & Drop Files, Choose Files to Upload You can upload up to 3 files. Examples are a photo of your VA Event badge, an email from the sponsor, coach or a BVA employee who also attendedReceipts * Drag & Drop Files, Choose Files to Upload You can upload up to 5 files. Examples are hotel receipt, air transport, gas receipts, uber to or from airport datesWould you prefer to receive your reimbursement electronically? *YesNoBankBank NameAccount NumberRouting NumberSubmit
