Field Trip Transportation Reimbursement Form

School Name(Required)

Name

IMPORTANT: Please allow 6-8 weeks for processing. Forms received after May 1st will be processed in August. No checks will be mailed during the summer unless arrangements are made with the OERB. If there is a problem with your reimbursement form, the OERB will contact you. If you have questions, email Teachers@OERB.com.

District Name(Required)

Name

Federal ID Number(Required)

School Address(Required)

Physical Address School PO Box City State ZIP Code

School Phone(Required)

Teacher Requesting Funding(Required)

First Last

Teacher's Email(Required)

Social Security Number (Home School Only)

Museum Visited(Required)

Museum Visit Date(Required)

Mode of Transportation(Required)

# of Students that Attended(Required)

# of Miles Traveled, Round Trip(Required)

Total Invoiced Amount for Transportation(Required)

This should be the actual amount the school or school district was invoiced for transportation to and from the closest age-appropriate museum.

Copy of Invoice Paid by School/School District(Required)

Accepted file types: jpg, gif, png, pdf, Max. file size: 50 MB.

NEW: The OERB will cover the actual cost of transportation to and from the closet age appropriate museum up to 200 miles round trip. Reimbursement forms must include a copy of the paid transportation invoice or receipt from your school or school district. Additional funding requests are no longer required.

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Field Trip Transportation Reimbursement Form

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