Police Clearance Submission/Reimbursement Request (LaSalle Minor Hockey Association)

Print Police Clearance Submission/Reimbursement Request
Fill in this form ONLY for Police Clearance submissions and reimbursements. Please use the Course Reimbursement form for requesting reimbursements for any coaching courses that were taken.
Submitter Information
  1. Example: ###-###-####
  2. Example: [email protected] Your submission will be sent to this address.
Address
Police Clearance
  1. Allowed extensions: .jpeg, .jpg, .png, gif, .pdf.
    Maximum # Files: 1. Maximum File Size: 4MB.
Receipt
Please be sure that your scanned receipt is legible to avoid delays in reimbursement AND/OR rejection of your submission.
  1. Allowed extensions: .jpeg, .jpg, .png, gif, .pdf.
    Maximum # Files: 3. Maximum File Size: 4MB.
Human Validation