Certification Refund Request 2022-2023 (BLOMHA)

Print Certification Refund Request 2022-2023
Certification Reimbursement Policy : BLOMHA will pay one half of your initial certification fee and pay the other half if you return to volunteer the following season. 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.
  1. I understand this is not an immediate reimbursement. I will receive a refund within one to two weeks. If I have not received payment by this time, I will then contact BLOMHA administration.
Human Validation