Hockey Canada Course Expense Reimbursement Form (New Hamburg Hockey Association)

Print Hockey Canada Course Expense Reimbursement Form
NHHA reimburses 100% of the cost of Hockey Canada accreditation clinics. To be reimbursed, coaches must provide the association Treasurer with proof they have successfully completed the course. The Clinic reimbursement form can be found in the Coaches resources section on the website and must be filled out along with a blank cheque to the Treasurer for automatic deposit.
Contact Information
  1. Number / Street Name
  2. A1B2C3
  3. Example: ###-###-####
Email Address for Reimbursement
CAREFULLY enter the email address where you would like us to send payment. Please understand that if you enter the wrong email address on this form, your payment may be permanently lost.
Team Information
Which team are you requesting this for?
  1. Coach, Assistant Coach, Trainer
Clinic Information
Enter Information for the clinic attended
  1. Police check, Trainer, Coach
  2. Trainer / Coach Only
  3. Enter the amount of the entry fee for this tournament
  4. RadDatePicker
    RadDatePicker
    Open the calendar popup.
Attachment
Receipt & Certification Attachments
  1. Allowed extensions: .jpeg, .jpg, .png, gif, .pdf, .doc, .docx.
    Maximum # Files: 5. Maximum File Size: 4MB.
  2. Allowed extensions: .jpeg, .jpg, .png, gif, .pdf, .doc, .docx.
    Maximum # Files: 5. Maximum File Size: 4MB.
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