Reimbursement Request - Healing Touch Professional Association

To receive reimbursement, you must do the following:

Please mail your Service to the Military Kit back to the Healing Touch Store using the pre-paid box.
Fill out the following form within 30 days of the event.
Upload pictures, receipts, and sign in sheet.

Reimbursement Request Form - Service to the Military

NOTE: Information and pictures CAN AND MAY BE USED for publication by HTP/HTPA/HTWF.

Primary Requestor Information

First Name*

Invalid Input

Last Name*

Invalid Input

Mailing Address*

Invalid Input

E-mail*

Invalid Input

Phone*

Invalid Input

Event Details

Event Name*

Invalid Input

Current Date*

Invalid Input

Date of Event*

Invalid Input

Event/Project Location*

Invalid Input

Number of Volunteers Participating*

Invalid Input

Estimated Number of HT Treatments Provided*

Invalid Input

Summary of Event Experience (inspiration, frustrations, case studies)*

Invalid Input

Itemized Funds Request

Travel $*

Invalid Input

Parking $*

Invalid Input

Mileage Driven*

Invalid Input

$0.14/mile is reimbursed.

Meal/food $*

Invalid Input

Other $*

Invalid Input

Enter total of any other expenses not provided. Supporting receipts must be included in the "Uploads" section below.

Total Shipping to/from HTP for Service to the Military Kit - *Reimbursed up to $79 for the shipping*

Invalid Input

Total Funds Requested $:

Invalid Input

(Receipts must be included/attached for all reimbursements)

Uploads

Image uploads

Please attach no more than 5 pictures from your event.

Note: Each file should not exceed 2Mb in file size.

Upload event images here

Invalid Input

Receipt uploads

Note: Each file should not exceed 2Mb in file size.

Upload your receipts here

Invalid Input

Anti-Spam Check*

Invalid Input

To receive reimbursement, you must do the following:

Reimbursement Request Form - Service to the Military

Primary Requestor Information

Event Details

Itemized Funds Request

Uploads

Image uploads

Receipt uploads

Resources

Healing Touch

About Us

Contact

To receive reimbursement, you must do the following:

Reimbursement Request Form - Service to the Military

Primary Requestor Information

Event Details

Itemized Funds Request

Uploads

Image uploads

Receipt uploads

Sign in Sheet upload