Post-Event Reimbursement Form

Calculating Estimation Choices

Attendance Numbers

Hotel Booking Code

Ticket Sales/Registration

Certification

Contact Information






Organization Information




Event Information






Calculated Eligible DTPID Funded Amount Based on Actualized Performance

Use the SAME method of computing the actual incremental room night code



Enter value from previous field here.


$168.00

Hotel Room Nights multiplied by Average Hotel Rate of $168

Total Revenue divided by 10




Enter this value in the field below.


Enter the value from the previous field here.

How You Spent the TPID Funds

Make sure that the following amounts add up to the Final TPID Funds Amount listed above.




Enter additional category.



Must match your Final TPID Funds Amount

Please add additional information to "tell the story".