SRP (ISK)
Pilot *
This is your name exactly as it appears in game
Your answer
Killboard Link *
Paste the link to the specific loss on the E-UNI killboard.
Your answer
AAR Link
Your answer
Email address
If you choose to submit your email address you will receive confirmation with a copy of your submission and an estimated processing time.. Please note that Reimbursement Staff will be able to see your email address!
Your answer
Comment
Please identify which fleet this was, and briefly describe how the loss happened.
Your answer
Campus *
Select the campus under which the loss happened. This determines the SRP that will be applied to the loss. Please note that only losses eligible for reimbursement under the selected SRP will be processed.
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service