4-H Reimbursement Form

Register your son or daughter for the 2020 4-H year and KV REMC will reimburse you the program fees.

Here are the easy steps to receive your 4-H program reimbursement.

1. Register for 4-H and pay the program fees.

2. Submit your receipt to KV REMC. Be sure the receipt includes your son or daughter's name. Maximum three (3) program fees will be reimbursed. The receipt can be mailed or hand-delivered to the KV REMC office or submitted by using the form below.

3. Once KV REMC receives your receipt, a check will be issued to you for the program fees. Only state and county program fees will be reimbursed. 

Name:*
REMC Account Number:*
Phone Number:*
E-mail:*
4-H County:*
Address:*
Upload your Receipt:*

Supported file types include jpg, jpeg, png, gif, and pdf.

Prove you're a human: