Postage Reimbursement Form

The OERB will reimburse a teacher or parent for the out-of-pocket expenses associated with mailing in your Well Site Safety contest forms. Postage receipt is required.

Complete the form below.

Home Address(Required)
School Name(Required)
Write "home" if you are participating as a parent or homeschool.

Contest Entry Form Information

Please provide information on the forms mailed. If multiple contest entry forms were mailed, use the + sign to add additional lines.
Details on Forms Mailed(Required)
Entry Form Type (e.g. K-2nd)
# of Forms Mailed
Drop files here or
Accepted file types: jpg, pdf, png, Max. file size: 10 GB.
    Must include a copy of the postage receipt.
    Please allow up to 4 weeks for processing.