Reimbursement Form

Prior to signing your legal contracts and escrow being funded, you may have expenses for items related to travel for medical screening, prenatal vitamins, medications, copays, parking, food, or insurance premiums. Receipts are required for reimbursement and can be uploaded at the bottom of this form.

Please use this form to notify your Case Manager of any necessary reimbursements so that we can be sure it is received in a timely manner. Reimbursements are made within two business days and a Paypal, Venmo, or Zelle account is required.