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KFD Gas and Toll Reimbursement Request
If you drove a personal vehicle at KFD's request, please fill out this form to request reimbursement for gas and tolls!
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* Indicates required question
Full Name
*
Your answer
Date of Trip
*
MM
/
DD
/
YYYY
Amount Requested (max $50)
*
Your answer
Payment Option 1: Zelle Email/Account Information
Your answer
Payment Option 2: Mailing address for a physical check
Your answer
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