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Internet Crimes Against Children
Expense Submission
Account Number
*
Enter the account number for your Affiliate
Reimbursement Type
*
- Select a value -
ICAC Investigation
ICAC Undercover (pre-approved)
HT Investigation
HT Operation (pre-approved)
ICAC Training
HT Training
Wellness Visit
ICAC Other
HT Other
Use the drop down menu to select the best option for this reimbursement request.
Your Name
*
Please enter your name so we can follow up with any questions
Email
*
Phone Number
*
Municipality
*
Case Number
*
Amount Requested
*
Receipts
Required uploads:
ICAC reimbursement form, HT Reimbursement Form and Alicia's Law Reimbursement Directions
Alicia's Law Reimbursement Directions - June 2024
HT Reimbursement Form
(Please open in Adobe Acrobat)
ICAC reimbursement form
(Please open in Adobe Acrobat)
ICAC Wellness Visit Reimbursement Form
For any other Reimbursement requests, please upload a request on Agency Letterhead
and
any receipts or documents showing payment. Reimbursements for training must also include a training certificate.
Add a new file
*
Files must be less than
5 MB
.
Allowed file types:
txt pdf doc docx zip
.
