Grant Reimbursement Request Form

Please fill out the form below and attach receipts, or download and send back via email

Department Information

Invoice Summary

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Receipts must be attached in order to be considered for reimbursement

Reimbursable PPE Items:  1 SCBA Mask/Face Piece, 1 pair of pants, 1 coat, 1 helmet, 2 hoods, 1 pair of boots, 2 pairs of gloves, 1 pair of suspenders, 1 pair of goggles.

In order to be reimbursed for PPE, you must provide proof that the firefighter has passed an NFPA 1582 compliant physical and is "fit for duty".

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