This form must be submitted with supporting documentation (invoice) prior to payment.
Invoices can be emailed to sb-coalition.org or faxed to 513-914- 4931.
By submitting this form, I certify that all the information provided is true and correct. I certify that the items listed are for the benefit of the applicant. If any information is intentionally false, I agree to reimburse SBCC all costs, legal and otherwise to recover disbursed funds.
An acknowledgement will be sent to you when payment is made.