Recreation Reimbursement Form

Note to Resident:

Please note that further authentication may be required for proof of residency. If your reimbursement request is approved, you will receive a cheque in the mail within 2-3 weeks.

Full Name(Required)

Email Address(Required)

Phone Number(Required)

Street Address(Required)

City(Required)

Province(Required)

Postal Code(Required)

Please Attach Official Receipt(Required)

Max. file size: 256 MB.

Please ensure the following prior to submitting:(Required)

Select All

Program has been completed

Application must be received within one year of expiry

Proof of payment for full amount is attached

Program is eligible for reimbursement (please see policy for more information)

Program has been provided by one of the eligible facilities

Please check each item

Note to Resident:

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