Certification Refund Request 2021-2022 (BLOMHA)

Print Certification Refund Request 2021-2022
Certification Reimbursement Policy : BLOMHA will pay one half of your initial certification fee and pay the other half if you return to volunteer in 2022-2023. BLOMHA does not reimburse for Vulnerable Sector Screenings (police checks).
Reimbursement Details


  1. Check All That Apply
  2. Examples: U9 Stars or U9 Select or U9 MD
  3. NAME OF PERSON CHEQUE TO BE PAID TO
  4. ADDRESS WHERE CHEQUE TO BE MAILED
  5. Example: [email protected] Your submission will be sent to this address.
  6. Example: ###-###-####
Receipts
All applicable receipts must be attached.
  1. Allowed extensions: .jpeg, .jpg, .png, gif, .pdf.
    Maximum # Files: 4. Maximum File Size: 4MB.
Human Validation
Printed from blomha.com on Sunday, November 28, 2021 at 7:06 PM