Reporting period for date of service:
If you have additional expenses to request for reimbursement, please submit a second form.
Before processing your request, please upload all scanned receipts or proof of purchases below. If you are unable to scan and upload your reciepts below, you may send them in the mail to:
Office of Drug Policy
attn: Camille McCashland
304 N 8th St. STE 455
Boise, ID 83720
Your postage costs are NOT allowable for reimbursement under this grant. Please know that your request will NOT be processed without the receipts; sending your proof of purchases in the mail may delay payment.
By sending in this form, you certify that the amount detailed represents expenditures of funds for the period covered and for the total project, all made in accordance with the approved budget for the above-named project. You also certify that no grant funds have been used to supplant or lobby.