Get Reimbursement Claim Form - California Department Of Boating And ... - Dbw Ca

Filling out the reimbursement claim form is essential for agencies seeking financial support from the California Department of Boating and Waterways. This guide provides clear, step-by-step instructions to help users successfully complete the form online.

Follow the steps to accurately complete the reimbursement claim form.

1. Click the ‘Get Form’ button to obtain the reimbursement claim form and open it in the designated editor.
2. Enter the agency name in the field labeled 'Agency Name (Grantee)'. This name will be the one the reimbursement check is issued to.
3. Fill in the contract number associated with your agency to ensure proper processing of your claim.
4. Provide the mailing address, including the city, state (CA), phone number, and zip code, ensuring all information is accurate for correspondence.
5. Input the contact name, which will serve as the primary point of communication for this claim.
6. Describe the water hazard or provide the name of the vessel relevant to the claim. Include the CF# or HIN where applicable.
7. Indicate the length of the vessel or the dimensions of the water hazard if needed.
8. Enter the GPS coordinates that pinpoint the exact location of the water hazard.
9. Confirm that all services have been completed by checking the corresponding statement of service box and attaching documentation as required.
10. Record the date(s) of service, ensuring that they align with the attached documentation.
11. Calculate the subtotal costs and enter that amount in the 'Sub Total' field.
12. Deduct the 10% match from the subtotal and enter the resulting amount in the 'Less 10% Match*' section.
13. Finally, input the total reimbursement request amount in the designated field.
14. Sign the form to verify that all information provided is accurate and complete, then provide the name, phone number, title, and date in the appropriate fields.
15. Once completed, save your changes, download the form for your records, and print or share it as needed.

Complete your reimbursement claim form online today to ensure prompt processing of your request.