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Supply Reimbursement Form
The OERB will reimburse you for your out-of-pocket expenses associated with curriculum materials. Just follow these steps.
Teach the OERB curriculum this school year
Save your receipts for Little Bits, Fossils to Fuel, Fossils to Fuel 2, Petro Active, Rockin’ Ratios, or CORE Energy consumable materials
Complete and submit this form and attach your receipts
**Please note that we can only reimburse you for materials listed in the OERB curriculum guides. Along with providing receipts for the consumable materials, you must list the materials you used, and the cycle you used them for. You must complete this form in order to be reimbursed. If you are unsure about approved materials, please call 1.800.664.1301 ext. 236 or email teachers@oerb.com with questions.
Name
(Required)
First
Last
Social Security #
(Required)
Email
(Required)
Home Address
(Required)
Street Address
City
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Vermont
Virginia
Washington
West Virginia
Wisconsin
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Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
School Name
(Required)
First
School Address
(Required)
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
If you have applied for a supply reimbursement through OERB in the past, has your home address changed? Please select one.
(Required)
Yes
Unsure
No
Select 'No' if this is your first supply reimbursement request.
OERB Curriculum Taught:
(Required)
Little Bits
Fossils to Fuel
Fossils to Fuel 2
Petro Active
Rockin' Ratios
CORE Energy Math
CORE Energy Science
CORE Energy Social Studies
CORE Energy Language Arts
Supplies and Cycles
Please list the individual materials you purchased and the cycle they were used for below
Little Bits Cycle Name Items Purchased for
(Required)
The Road to Petroville
Petro Pete's Well Site Safety
Jump Rope Rhymes
Petro Pete's Rockin' Rock Hunters
Good Vibrations
Oil Drop Hide and Seek
May the Force Be With You
From the Ground to All Around
Select all that apply.
Supplies Purchased for Little Bits Curriculum
(Required)
Materials
Add
Remove
Fossils to Fuel Cycle Name Items Purchased for
(Required)
Cruisin' With Energy
Digging Deep
Let's Get Physical With Oil
Seeping Stones
Let's Rock
Weighty Problems
Give It a Lift
Tower of Power
Select all that apply.
Supplies Purchased for Fossils to Fuel Curriculum
(Required)
Materials
Add
Remove
Fossils to Fuel 2 Cycle Name Items Purchased for
(Required)
Petro Pete's Treasure Hunt
Petro Pete Rock Detective
Thirsty Rocks
Petro Pete Visits Viscosity
Pulleys - A Weighty Problem
Petro Pete Rises to the Top
Petro Pete Recycles
Select all that apply.
Supplies Purchased for Fossils to Fuel 2 Curriculum
(Required)
Materials
Add
Remove
Petro Active Cycle Name Items Purchased for
(Required)
Cooking Up Crude
Petro Pockets
Traveling Sound
Seismic Clatter
From the Ground Up
Precious Pretzels
Select all that apply.
Supplies Purchased for Petro Active Curriculum
(Required)
Materials
Add
Remove
Rockin' Ratios Cycle Name Items Purchased for
(Required)
Find the Landman
Let's Move That Oil
Turn Up the Volume
Select all that apply.
Supplies Purchased for Rockin' Ratios Curriculum
(Required)
Materials
Add
Remove
CORE Math Cycle Name Items Purchased for
(Required)
Production Profit
Drill in the Right Direction
Got Oil
Select all that apply.
Supplies Purchased for CORE Math Curriculum
(Required)
Materials
Add
Remove
CORE Science Cycle Name Items Purchased for
(Required)
Let It Flow
The Carbon Connection
From Crude to Refined
Bubbling Up Crude
Select all that apply.
Supplies Purchased for CORE Science Curriculum
(Required)
Materials
Add
Remove
CORE Social Studies Cycle Name Items Purchased for
(Required)
No Uncertain Terms
Scavenger Hunt
Glenn Pool Story
Wildcatters, Roughnecks & Good Ol' Boys
Baron Fruit
The More Things Change
Running On Empty
That Was When
Select all that apply.
Supplies Purchased for CORE Social Studies Curriculum
(Required)
Materials
Add
Remove
CORE Language Arts Cycle Name Items Purchased for
(Required)
Detail and Tone
Analyzing Informational Texts
Rhetoric
Research
Select all that apply.
Supplies Purchased for CORE Language Arts Curriculum
(Required)
Materials
Add
Remove
Receipt(s) Upload
(Required)
Drop files here or
Select files
Accepted file types: jpg, pdf, png, Max. file size: 10 GB.
Total Amount Due
(Required)
Date
Please allow up to 4 weeks for processing.
