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Wisconsin Rehabilitation Association
Reimbursement Form


Send WRA Reimbursement requests to the WRA treasurer my postal mail. The WRA Treasurer will then discuss reimbursement with the current WRA President by the 5th Business day of the following month:

Richard C. Willette M.S., WRA Treasurer
4230 Midget Lake Drive
Rhinelander, WI. 54501
(715 362-6870)
rcwvocational@charter.net

Please give the process a reasonable amount of time and If you get no results email the WRA President at dennis.carriere@dwd.state.wi.us, Dennis Carriere
   
Date:
Name:
Address:
Address:
(Line 2)
City:
State:
Zip:
 Phone:
 Email:
 
FundsDate:
Reasons for WRA Reimbursement:
(Please describe what the funds were used for and Why you need WRA Reimbursement)
*If more space is needed, please attach another sheet of paper



 WRA Reimbursement Form   Download Form
(PRINTING: Highlight Desired text Or Click Download Form and Print It.)
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