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General Instructions

This 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

Name *

Please enter an amount up to $500 that you would like to be reimbursed for.

Click or drag files to this area 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 attended

Click or drag files to this area to upload.
You can upload up to 5 files.

Examples are hotel receipt, air transport, gas receipts, uber to or from airport dates

Would you prefer to receive your reimbursement electronically? *

Bank


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