Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.General InstructionsThis is the initial step in requesting reimbursement for attending one of the six VA National Clinics. Reimbursement is available exclusively to BVA members, with a maximum of $500 per member per calendar year. Once your request is approved, you will be notified. After attending the event, you must complete the reimbursement form and upload the following documentation: Proof of attendance Receipts for travel or lodging expenses paid by you Please note: The total reimbursement amount cannot exceed $500 per calendar year. Phone BVA Email Name *FirstLastBVA Member Number *EmailPhone *Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEvent *--None--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? (up to $500) *The BVA reimburses up to $500 per member per calendar yearSubmit