Contracted Social Workers should use this form to submit their monthly invoice and report activities related to their support group participation. Please complete all required fields and provide any requested details about support group meetings, resources shared, trainings attended, and other relevant activities during the reporting period. Reimbursement requests for mileage or meals may also be submitted through this form if applicable.

Accepted file types are PNG, jpg, pdf, doc, docx, xls, xlsx, and csv.

Any questions should be emailed to barbara@ataxia.org.  Thank you!

Please note: 

• Mileage is reimbursed per IRS standard: 70 cents/mile.
• You may bill a maximum of 2 hours if the support group is schedule for 1.5 or 2 hours long.

• You may bill a maximum of 1.75 hours if the meeting is scheduled for 1 hour as follows: arrival up to 15 minutes before the start of the group to consult with support group leaders if this is arranged in advance, 1 hour for the group meeting and up to 30 minutes additional time for consults with members/leaders for a maximum of 1.75 hours (if the support group runs for 1.5 hours or more, then no additional consultation time is supported).