Reimbursement

Reimbursement for Vulnerable Sector Checks

This field is hidden when viewing the form

Next Steps: Sync an Email Add-On

To get the most out of your form, we suggest that you sync this form with an email add-on. To learn more about your email add-on options, visit the following page (https://www.gravityforms.com/the-8-best-email-plugins-for-wordpress-in-2020/). Important: Delete this tip before you publish the form.

Thank you for volunteering with JA Central Ontario! Please complete the form below to be reimbursed for the cost of your police screening process. Please note: Volunteers can request a reimbursement up to 60 days after their delivery day. We are unable to process submissions received after this time. After submitting this form, please allow for a minimum of 6 weeks to receive payment.

Your Name(Required)

First Last

How do you wish to proceed with your reimbursement?(Required)

Reimbursement

Gift-In-Kind to JA Central Ontario (tax receipt will be provided)

Receipt or Proof of Purchase(Required)

Accepted file types: pdf, , Max. file size: 256 MB.

Vulnerable Sector Check Results(Required)

Accepted file types: pdf, Max. file size: 256 MB.

Cost of police screening(Required)

Date Police Screening was purchased(Required)

Region(Required)

Password

The region you've selected typically secures the form, using the applicant's birthday as the password. Kindly provide this information so that we can access your results.

Company(Required)

Volunteer Opportunity(Required)

e-Transfer or bank transfer?(Required)

eTransfer

Bank transfer

How do you wish to receive your tax receipt?(Required)

Mail

Address(Required)

Street Address City Province Postal Code

Email(Required)

Enter Email Confirm Email

Gift-In-Kind Confirmation

I direct that the funds to which I am entitled by way of reimbursement for my Vulnerable Sector Check, and would otherwise be forwarded to me by cash, be transferred to JA Central Ontario as my gift.

e-Transfer information

Email(Required)

Enter Email Confirm Email

*We recommend using a personal email account for e-transfers to avoid delays. Disbursement notifications will come from our third-party payment processing application, Plooto, and may get delayed or rejected by firewalls associated with corporate email domains.

Bank transfer information

Direct Deposit Form(Required)

Accepted file types: pdf, Max. file size: 256 MB.

*Please upload a direct deposit form to the account to which you wish your reimbursement to be deposited.

Email(Required)

Enter Email Confirm Email

Date