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Washington County Volunteer Fire and Rescue Association

Annual Company Reimbursement Report

This form must be completed prior to December 31 of each year in order for funds to be reimbursed!

Pressing Submit Will Save your information Directly to WCVFRA without further submission

 

Select Company for Entry   

  1- Fire Fuel Invoices Submit   

  2 - Fire Maintenance Invoices Submitted Total       

  

  4 - EMS Maintenance Invoices Submitted Total      

 

 A- Total Fuel and Maintenance   

 

 5 - Elect

 

 

 B - Total Utilities Submitted (Total of 5 thru 7)   

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Total of Su   


By completing this form and pressing submit I certify that the above amounts are correct and that the invoices representing those amounts have been uploaded to horescan and that they are only those invoices that may be properly reimbursed according to county policies.

Date :

Person Completing Form : Completer's Email :

Title / rank of person completing form President, Secretary,etc.  : Completer's Phone :

Pressing Submit Will Save your information Directly to WCVFRA without further submission