Bus Transportation Reimbursement Request
The Tillamook County Pioneer Museum can pay for buses only after the field trip has been completed. A transportation company invoice must be sent to TCPM within 45 days of the field trip along with a signed W9 form from the school district.
Name of School *
Teacher Name *
Grade *
Number of Students *
Date of Field Trip *
Reimbursement Amount Requested *
Schools located within 50 miles of the Museum/Kilchis Point may receive a maximum reimbursement of $100. Schools located over 50 miles from the Museum/Kilchis Point may be reimbursed a maximum of $200 per visit.
Field Trip Location *
Contact Person *
Name
Contact Person
Address
Contact Person *
Phone
Contact Person *
Email
Additional Information
Comments, special requests, suggestions
For Official Use Only
Approved/Denied
Submit
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