BROOD Foster and Veterinary Expense Reimbursement Form

BROOD is happy to pay your expenses for your BROOD foster dog. If you have questions about reimbursement, email us at treasurer at brood-va.org. Please complete and submit the online form and attach the bills along with the email authorizing the care. You can attach up to three documents to this form, if you have additional documentation, please email it separately to vetbills at brood-va.org.

If you prefer to submit this form by mail, please complete this form, click on PRINT FORM and mail all documents to:

Basset Rescue of Old Dominion
3445 Seminole Trail, Box 248
Charlottesville, VA 22911

You may also print this form and fax it along with all supporting documents to our fax number 866-710-9471 (toll free).

Please be sure to attach the prior approval authorization as this is needed to process your request.