You are using a very old version of Internet Explorer, so some items may not work as expected. Please upgrade your browser.
Join/Renew
Advertise
Contact
Log In
Search
Toggle navigation
Home
About APTAWA
Careers & Education
Practice & Patient Care
Payment & Advocacy
Advertising & Exhibiting
News & Information
For the Public
Use APTAWA.org Desktop Version
Home
>
Forms
> Reimbursement Request - PT Legislative Impact Day Student Lodging
Reimbursement Request - PT Legislative Impact Day Student Lodging
Thank you for attending PT Legislative Impact Day and submitting this form for student lodging.
Requirements and Other Details:
We will only reimburse for lodging for PT and PTA students from EWU, Spokane Falls, PNWU, and Whitworth for a Wednesday night overnight stay.
You must email a copy (or copies if you paid for multiple rooms) of your hotel receipt to
info@aptawa.org
in order for the reimbursement request to be complete.
This reimbursement request must be received by April 1, 2023.
If you have any questions about filling out this form or the requirements, please contact
info@aptawa.org
or call (800) 554-5569.
We will reimburse electronically or a reimbursement check will be mailed to the name and address submitted on this form within 7-10 business days of APTA Washington receiving a completed reimbursement request.
School Name:
Select One
Whitworth University
Spokane Falls Community College
Pacific Northwest University of Health Sciences
Eastern Washington University
Amount of lodging to be reimbursed (we will reimburse half of the cost)
Please email hotel receipt to
info@ptwa.org
. Your request will not be complete until that receipt is received.
Contact Information
First Name
Last Name
Address
City
State
Zip
Home Phone
Email
By submitting this form, I attest that I meet all of the requirements as specified above and the information I am submitting is correct to the best of my knowledge.
Submit