Skip to content
About
Join Troop 143
Calendar
Merit Badges
Resources
Menu Toggle
Training
Rank Advancement
Documents
Reimbursement Request
Grubmaster’s Delight
Camping Checklists
Summer Camp
Troop 143 Uniform Bank
Help
Menu Toggle
How to Sign Up for An Event or Campout
How to Register Your Scout on the Website
How to Register as a Leader
How to become a trained leader
How to renew your scout/adult registration
Store
Contact
Login
0 items
$0.00
Main Menu
About
Join Troop 143
Calendar
Merit Badges
Resources
Menu Toggle
Training
Rank Advancement
Documents
Reimbursement Request
Grubmaster’s Delight
Camping Checklists
Summer Camp
Troop 143 Uniform Bank
Help
Menu Toggle
How to Sign Up for An Event or Campout
How to Register Your Scout on the Website
How to Register as a Leader
How to become a trained leader
How to renew your scout/adult registration
Store
Contact
Login
0 items
$0.00
Reimbursement Form Download
Please enable JavaScript in your browser to complete this form.
Requested By
*
First
Last
Email
*
Phone
Date Requested
Date Needed
How Many Expenses Are You Submitting?
Selected Value:
1
Maximum of 5 expenses can be submitted per form. If you have more than 5 reimbursable items, please complete an additional form(s).
Category (for item 1)
*
Please select your expense category
Advancements (Awards, Eagle ceremonies, Honor Unit Patches)
Court of Honor
Events/Campouts (Provide Specific Campout, High Adventure, etc.)
Registration (New Adult, Recharter, New Scout Dues, OA Registration)
Training (NYLT, JLO, etc.)
Supplies
Eagle Scout Project
Flag Expenses
Administrative Expenses
Event (for item 1)
*
Please select your specific event
January Campout
February Campout
March Campout
April Campout
May Campout
Summer Camp
July Campout
August Campout
September Campout
October Campout
November Campout
High Adventure - Norther Tier
High Adventure - Philmont
High Adventure - Sea Base
High Adventure - Summit
Category (for item 2)
*
Please select your expense category
Advancements (Awards, Eagle ceremonies, Honor Unit Patches)
Court of Honor
Events/Campouts (Provide Specific Campout, High Adventure, etc.)
Registration (New Adult, Recharter, New Scout Dues, OA Registration)
Training (NYLT, JLO, etc.)
Supplies
Eagle Scout Project
Flag Expenses
Administrative Expenses
Event (for item 2)
*
Please select your specific event
January Campout
February Campout
March Campout
April Campout
May Campout
Summer Camp
July Campout
August Campout
September Campout
October Campout
November Campout
High Adventure - Norther Tier
High Adventure - Philmont
High Adventure - Sea Base
High Adventure - Summit
Category (for item 3)
*
Please select your expense category
Advancements (Awards, Eagle ceremonies, Honor Unit Patches)
Court of Honor
Events/Campouts (Provide Specific Campout, High Adventure, etc.)
Registration (New Adult, Recharter, New Scout Dues, OA Registration)
Training (NYLT, JLO, etc.)
Supplies
Eagle Scout Project
Flag Expenses
Administrative Expenses
Event (for item 3)
*
Please select your specific event
January Campout
February Campout
March Campout
April Campout
May Campout
Summer Camp
July Campout
August Campout
September Campout
October Campout
November Campout
High Adventure - Norther Tier
High Adventure - Philmont
High Adventure - Sea Base
High Adventure - Summit
Category (for item 4)
*
Please select your expense category
Advancements (Awards, Eagle ceremonies, Honor Unit Patches)
Court of Honor
Events/Campouts (Provide Specific Campout, High Adventure, etc.)
Registration (New Adult, Recharter, New Scout Dues, OA Registration)
Training (NYLT, JLO, etc.)
Supplies
Eagle Scout Project
Flag Expenses
Administrative Expenses
Event (for item 4)
*
Please select your specific event
January Campout
February Campout
March Campout
April Campout
May Campout
Summer Camp
July Campout
August Campout
September Campout
October Campout
November Campout
High Adventure - Norther Tier
High Adventure - Philmont
High Adventure - Sea Base
High Adventure - Summit
Category (for item 5)
*
Please select your expense category
Advancements (Awards, Eagle ceremonies, Honor Unit Patches)
Court of Honor
Events/Campouts (Provide Specific Campout, High Adventure, etc.)
Registration (New Adult, Recharter, New Scout Dues, OA Registration)
Training (NYLT, JLO, etc.)
Supplies
Eagle Scout Project
Flag Expenses
Administrative Expenses
Event (for item 5)
*
Please select your specific event
January Campout
February Campout
March Campout
April Campout
May Campout
Summer Camp
July Campout
August Campout
September Campout
October Campout
November Campout
High Adventure - Norther Tier
High Adventure - Philmont
High Adventure - Sea Base
High Adventure - Summit
Amount Budgeted (for item 1)
*
Amount Budgeted (for item 2)
*
Amount Budgeted (for item 3)
*
Amount Budgeted (for item 4)
*
Amount Budgeted (for item 5)
*
Amount Requested (for item 1)
*
Amount Requested (for item 2)
*
Amount Requested (for item 3)
*
Amount Requested (for item 4)
*
Amount Requested (for item 5)
*
Grand Total Amount Requested
*
Would You Like Your Reimbursement Credited to a PSA or Paid by Check?
*
PSA
Check
If Being Applied to PSA, Please Identify Scout Name
*
First
Last
Make Check Payable to an Individual or to an Organization?
*
Individual
Company/Organization
Make Payable To
*
First
Last
Make Payable To Company/Organization
*
Payable to Address
*
Address Line 1
Address Line 2
City
Please select state
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
File Upload
*
Click or drag files to this area to upload.
You can upload up to 5 files.
Please upload receipts in JPG or PDF file format.
Please prove that you are human:
*
What is 7+4?
Submit
Scroll to Top
Username
*
First Name
Last Name
E-mail Address
*
Mobile Number
Password
*
Confirm Password
*
Scout Level
*
Scout
Tenderfoot
2nd Class
1st Class
Star
Life
Parent/ASM
Scout Patrol
*
Bisons
Dragons
Hawks
Liberty Bells
Vipers
Wolves
Old Goats
Diet Restrictions
*
Yes
No
Please upload your Medical Form
Upload
Please upload your Medical Form
Upload
When your medical form expires, you must upload a new one
Only fill in if you are not human
To reset your password, please enter your email address or username below.
Only fill in if you are not human
Troop 143 Page
Please RSVP at one of the New Scout Visitation Meetings below
No event found!
Please enable JavaScript in your browser to complete this form.
Name
*
First
Last
Email
*
Inquiry Type
*
Please Select Inquiry Type
General Information
Membership
Community Service
Comment or Message
*
Submit
Please enable JavaScript in your browser to complete this form.
Username or Email
*
Password
*
Remember me
Remember me
Submit
Forgot Password
Register as New User