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Office of Human Services Emergency Preparedness and Response

An Office of the Administration for Children & Families

RR-04 Routine Repatriation Reimbursement Request

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Publication Date: June 27, 2022

Current as of: December 20, 2024

The purpose of this form is for state and local service providers to submit reimbursement requests for providing temporary assistance to repatriates under the U.S. Repatriation Program.

Files

PDF RR-04 Routine Repatriation Reimbursement Request - FILLABLE (251.94 KB)
PDF RR-04 Routine Repatriation Reimbursement Request - STANDARD (238.80 KB)

Types:

Form

Topics:

Emergency/Disasters , Repatriation

Audiences:

Caseworkers , Families , Grantees , Local/County Government , States

Tags:

Case Management , Disaster Response