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*

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Last Name*

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Mailing Address*

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E-mail*

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Phone*

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Event Details

Event Name*

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Current Date*

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Date of Event*

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Event/Project Location*

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Number of Volunteers Participating*

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Estimated Number of HT Treatments Provided*

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

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Itemized Funds Request

Travel $*

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Parking $*

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Mileage $*

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$0.14/mile is reimbursed.

Meal/food $*

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Other $*

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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*

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Total Funds Requested $:

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(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

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Receipt uploads

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

Upload your receipts here

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Anti-Spam Check*

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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