WSU Extension > Clallam County > 4-H Council Reimbursement Request 4-H Council Reimbursement Request Request for Clallam 4-H Council Reimbursement Name of person making the request First Last Date when Council approved the funds MM slash DD slash YYYY List of expenses and their dollar amounts(Required) Add RemoveDate submitting request MM slash DD slash YYYY Make check payable to(Required) First Last Total amount of reimbursement(Required)Upload receipts(Required)Max. file size: 80 MB.PhoneThis field is for validation purposes and should be left unchanged. Δ ↑ Back to top