FEF Reimbursement Form

Reimbursement Form for FEF Grants

This form should be used for all FEF grants where reimbursements are due.
Please complete the form below, attach your receipt, and click submit. Once documentation is complete, FEF will send a check to you within a month. If you have any questions, email us at mbuckley.fef@gmail.com. Please submit the form as soon as possible after you make your purchase(s). Please attach all receipts for your project or activities at the same time. If you would prefer to mail the receipts rather than attach them, please complete the form and mail it along with your receipts to Meghan Buckley, FEF Office, PO Box 1061, Falmouth, MA 02541. Thank you.
Today's Date

Month Day Year
Date
Name

First Name Last Name
For what type of grant are you seeking reimbursement? *

Teacher Opportunity Mini-Grant New Project Grant Continuing Project Grant
Your Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
E-mail
School
Title or subject of grant
Amount of grant
Amount of reimbursement
How are you sending your receipts to FEF? Make sure your receipt shows proof of payment.

I am mailing my receipts to FEF, Box 1061, Falmouth, MA 02541 I am attaching my receipts to this form I am emailing my receipts to mbuckley.fef@gmail.com
Scan or take a photo of your receipt, save to your device or computer, and then attach as indicated. Make sure the receipt reflects the payment method, e.g., the name of the credit card used. If you used a credit card, delete all but the last four digits of your credit card number. If you cannot attach the copy, email it to mbuckley.fef@gmail.com or mail it FEF, Box 1061, Falmouth, MA 02541.
The reimbursement should be made out to:
In cases where the check should be made out to someone other than you, please provide the name of the person to whom the check should be made out and the address to which it should be mailed. If the reimbursement is to come to you at your address, you do not need to complete the following.
Pay to the Order of:

First Name Last Name
Address to send reimbursement

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Should be Empty:

Reimbursement Form for FEF Grants