Brainerd High School Officials/Judges Voucher for Payment of Services
Officials-Please complete this voucher at the conclusion of your assigned contest at Brainerd HS. To expedite payment, please be sure all information provided is accurate, especially your name and address. If you have not worked at Brainerd High School in the last calendar year, you will need to complete a W-9 as well. Thank you!!
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Email *
Round Trip Mileage (Varsity Officials only):
*Mileage to be paid for ONE vehicle per contest, unless specifically agreed upon*
Date of Contest *
MM/DD/YYYY
MM
/
DD
/
YYYY
Sport or Activity: *
Opponent:: *
Level of Competition: *
Check  "Other" to add details about contest (e.g. Dual, 5th Quarter, etc)
Required
Official's Last Name: *
Official's First Name (Legal name): *
Street Address: *
City, State, Zip Code *
New Address?
Phone Number *
A copy of your responses will be emailed to the address you provided.
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