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Home
Forms
01 Williston Forms
02 Windsor Forms
4500 Form Page
4500
Directory
PCA Requests
News
Help Portal
Help Desk (Tickets)
FAQ
Email Setup & Access
Misc
Support
Ethics
WeCU Reimbursement Form for NVT (01)
This is the reimbursement request form for NVT (01) WeCU savings accounts.
*
indicates required field
Name:
*
Email:
*
Area of Request:
1. Membership for activity/experience
2. Tickets for arts experiences
3. Professional/Personal development expenses
4. Subscription to support healthy eating
5. Materials for gardening
6. Services/appts with qualifying professionals
(
IMPORTANT
: The 6 items above have shortened descriptions. To view the full descriptions of approved 'Items', please click on the following link:
01 NVT Approved List
. This link will open in a new tab that you can close after viewing.)
Description of Activity/Service:
*
Date(s) of Activity/Service:
*
Total Amount Requested:
*
Attach Receipt/Proof of Purchase:
*
Acceptable file types: doc,docx,pdf,txt,gif,jpg,jpeg,png.
Maximum file size: 5mb.
CAPTCHA Code:
*