Day of Caring Reimbursement Form | United Way of Washington County, MD

Please refer to the DOC Team Leader training document for a comprehensive reimbursement policy and a list of reimbursement restrictions. United Way will not reimburse for certain supplies; this is not an exhaustive list of examples: Ladders, step stools, and expensive power tools that volunteers will keep after the event. Common household supplies will include brooms, mops, dust pans, and other items easily accessible to volunteers, such as hammers, screwdrivers, and buckets.

Contact Information

Name

Company

Phone

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Project Site Location

Who is the check to be made payable to?

Please list the purchases itemized on your receipt(s). Include store, names, and cost.

Re-order	Item(s)	Store Name	Cost, $	Weight	Operations
	Item(s)	Store Name	Cost, $	Item weight

more items

Total Reimbursement Request $

Upload receipts associated with the costs listed above. Please include all receipts in one file.

Upload requirements

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