Reimbursement Request Form

Please read and follow the Instructions for Reimbursement Requests before submitting this form. Requests that do not meet the requirements or follow the instructions will not be reimbursed.

Physical receipts are required for all requested reimbursements. Credit card or other statements will not be accepted. Follow the "How to submit receipts" instructions to upload scans or photos of your receipts to the CWR Google Drive. Alternatively, you can email receipts to kathi@cawhalerescue.org.

Your Name *
Your Name
Mailing Address (checks will be sent here)
Mailing Address (checks will be sent here)
Phone Number (for follow-up questions)
Phone Number (for follow-up questions)

Category 1: Emergency Responses

Date of Response
Date of Response
See requirements and instructions for qualifications. All stand-by vessels must be pre-approved vessels in the network, and designated each day of a response as a stand-by.

Personnel Reimbursement

Must be pre-approved, and designated by NOAA.
Up to $50 per day
$
Up to $275/night if >60 miles from home
$

Category 2: Repair/Replacement of Lost or Damaged Tools

Receipts and pre-approval required. Must be linked to a response where the tool was lost or damaged.
$
Date of Response
Date of Response

Category 3: Readiness Expenses

Receipts and pre-approval required

Entanglement Response Tools

$

Personal Protective Equipment (PPE)

$

Research

$

Documentation

$
$

Training & Training Support

$
Up to $50
$
Up to $275/night if >60 miles from home
$
$