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)

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.