Respondent Reimbursement Form

Respondent Reimbursement Form

Respondent or Artist Seeking Reimbursement

Send Reimbursement to:

Production Information: (One production per form)

Other Reimbursements (One type per form)

Travel Information (receipts required):

Do you have additional expenses?

Donation

As a qualifying non-profit, expenses donated back to the Region may be tax deductible. Letters will be sent once per year, after regional festival for tax purposes. Please consult with a tax professional if you have questions.
I would like to donate back my expenses to Region 2.

Please check all that apply:

Upload scanned receipts (one file per box):

Maximum upload size: 256MB
Maximum upload size: 256MB
Maximum upload size: 256MB
Maximum upload size: 256MB

Note that reimbursement will not be made until all required response forms have been received (if applicable) and expenses have been approved.

Send receipts via mail to
Suzanne Delle
KCACTF Region II Chair
c/o York College of Pennsylvania
441 Country Club Road
York, PA 17403