Payment Request Form
Coordinator: This form is proof you approve of the expense. Please fill it out.
Thank you for doing on-the-ground work for Mass RID!
Please take a moment to look this form over before your event or purchase.
You can use this form to request (please check one):
Reimbursement for a purchase. Please include any receipts
Payment for a vendor (speaker, interpreter, daycare, etc). Please include a contract and W-9
Payment for occupancy (rooms or space for an event, etc) Please include any receipts
I would like a check from Mass RID made out to:
Description of event (eg. workshop name and date):
Description of items, service, or location
(eg. “Interpreter services” or “food reimbursement”):
Thanks again! The work you are doing is the reason MassRID exists!
Now just mail this form to the email or street address shown below. All efforts will be made to get you your money promptly!
Massachusetts Registry of Interpreters for the Deaf
Treasurer ℅ Mary Fahey 31 Longmeadow Drive, Amherst, MA 01002