Reimbursement Request Form

Thank you to the State of California and to the individuals and organizations who advocated for the state reimbursement funding for large whale entanglement response. Funds are available to members of NOAA’s large whale entanglement response network to reimburse the responders for their personal investments. The funding is retroactive to responses throughout the state from January 1, 2016 - December 31, 2016, with carryover if necessary. Costs may include personnel, travel, emergency response vehicles, emergency supplies, operating supplies, and research elements. Receipts or a copy of a credit card statement are required for any requested reimbursement. If you have a Google account, it is preferred that you upload a copy, scan or photo of your receipts to the CWR Google Drive (include your last name and the reimbursement category in the file names). Alternatively, you can email receipts to kathi@cawhalerescue.org.

For a full list of reimbursable items, click hereIf you have any questions, please contact 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)

Response-specific Reimbursements

Date of Response
Date of Response

Emergency Response Vessel Costs

Vessel expenses are reimbursable for the following scenarios: disentanglement, satellite tag attachment, photo/video analysis, and search under direct order from Justin Viezbicke (or his delegate). Does not include BOLO Searches or Boat Maintenance. Please consult this page for maximums and details before requesting.

Please do not include commas or other special characters in your entry. Decimals are ok. Any notes or comments can be included in the comments field below.

$
$
$
$

Personnel Reimbursement

Members of NOAA’s Large Whale Entanglement Response Network. Please consult this page for maximums and details before requesting.
$
Fuel expenses incurred traveling to/from a response. $50 max
$
Food expenses incurred specifically for the response. $30 max
$
Hotel expense if traveling greater than 60 miles from home. $150 max
$

Non-response-specific Reimbursements

Operating & Emergency Supplies

Max $300
$
Max $1,000
$
Max $150
$
Max $100
$

Research

We are exploring the options of how funding can be used towards prevention efforts in future funding cycles.
Max $50
$

Note: There may be a request for additional information beyond the receipt or credit card statement by the review committee. This will not affect your reimbursement. Thank you.