By Elizabeth Mettler | August 15, 2016

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FirstMaurice
LastWerner
Date10/17/2018
EmailEmail hidden; Javascript is required.
Phone(202) 359-5108
Address5018 NEBRASKA AVE NW
WASHINGTON, District of Columbia 20008
Map It
Make Check Payable toAIM
Amount$505.00
Attach Receipt(s)Gmail-AIM-Payment-Confirmation.pdf
Mailing/Delivery Instructions

Please send the check, along with a copy of the attached confirmation email to:

AIM
PO Box 674051
Dallas, TX 75267-4051

PurposeInsurance Coverage
HSA Budget CategoryOperations

Operating expenses must be approved by an HSA Co-President. Committee-related expenses (e.g. Auction, Green Scene) must be approved by the committee chair. Resource teacher expenses must be approved by the Principal.
All receipts and/or supporting documents must be uploaded with or attached to this form.

For HSA Treasurer Only
Status of approval:
  • Approved