BROOD Foster Expense Reimbursement Form
BROOD is happy to pay your veterinary expenses for your BROOD foster dog. If you have questions about reimbursement please contact treasurer at brood-va.org. Please fill out the following form and attach your vet bill/records along with the authorization for care email you received. 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:
c/o Melinda Brown
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).
*NOTE* You will be responsible for any expenses incurred without prior approval or attached email authorization.