Fill out the form below completely. Receipts must be provided for all expenses. Either attach them here, or email to sue@ataxia.org. Accepted file types are: png, jpg, pdf, doc, docx, xls, xlsx, csv.
Reimbursements can be paid via ACH, check, or PayPal. ACH and PayPal are preferred, and will give you the fastest reimbursement. Checks are mailed through our BillPay service and will take 10-15 business days.
Any questions should be emailed to sue@ataxia.org. Thank you!
Please note: Mileage is reimbursed per IRS standard: 65.5 cents/mile.
Our generous donors help us fund promising Ataxia research and offer support services to people with Ataxia. Your gift today will help us continue to deliver on our mission to improve the lives of persons affected by Ataxia.
Join for FREE today! Become a part of the community that is working together to find a cure. As a member you will receive access to the latest Ataxia news with our e-newsletter and Generations publication.
501(c)(3)
EIN 41-0832903
Mailing Address:
PO Box 27986
Golden Valley, MN 55427
Physical Address:
600 Highway 169 South
Suite 1725
Minneapolis, MN 55426
763-553-0020
763-553-0167 (Fax)