Fingerprinting Reimbursement Request

  • Full name of volunteer.
  • If check is to be made out to someone other than the volunteer, please provide the payee name. If left blank, check will be made out to volunteer name.
  • Fingerprinting cost that you would like to be reimbursed for.
  • Please scan or photograph your fingerprinting receipt, and attach a copy here. (Filetypes accepted are jpg, gif, png, pdf)
    Drop files here or
    Accepted file types: jpg, gif, png, pdf.
  • Provide any additional information here.
  • This field is for validation purposes and should be left unchanged.