SUPTRS BG Detailed Request for Reimbursement Form
Grantees receiving Substance Use Prevention, Treatment, and Recover Services Block Grant (SUPTRS BG) for Primary Prevention funds are required to complete a detailed reimbursement request via JotForm in conjunction with the Draw Voucher submitted via Neighborly.
All funds requested MUST be presented on this form. All forms MUST be submitted electronically. No handwriting will be accepted.
All supplemental documentation must be uploaded and submitted via this JotForm. There is an option to upload supplemental documents for each expense within the form.
Please email jessie.dexter@odp.idaho.gov with any questions.