You are using a very old version of Internet Explorer, so some items may not work as expected. Please upgrade your browser.
Membership & Benefits
Leadership & Governance
• Board of Directors
• Delegates to the APTA House of Delegates
• Bylaws, Policies and Other Governance Documents
• Committees, Districts, Special Interest Groups and Task Forces
PTWA Courses & Conferences
Continuing Education Advertisements
APTA Learning Center
PT and PTA Career Resources
Suicide Assessment Courses and Requirements
Offering Continuing Education Credit
& Patient Care
• Labor & Industries
Licensing in Washington State
Evidence & Research
Washington State Board of Physical Therapy
PTWA Reimbursement Committee
PTWA Legislative Impact Day
PTWA Legislative Committee
Find your Legislators & Members of Congress
Post a Job on Our Website / in Our Newsletter
Advertise a Product or Service on our Website
Advertise in our Newsletter
Conference Exhibiting and Sponsorship
Other Sponsorship Opportunities
Partners, Associates and Friends Program
Rent our Mailing List
This Just In
Serve Your Community
Find a PT / APTA Move Forward
Choices for Movement & Function
> PT Legislative Impact Day Mileage & Parking Reimbursement Form
PT Legislative Impact Day Mileage & Parking Reimbursement Form
Thank you for attending PT Legislative Impact Day and submitting this form for mileage and parking reimbursement.
Requirements and Other Details:
Only PT and PTA students from Western Washington may be reimbursed for mileage and parking.
The PT or PTA student must be the driver of the vehicle.
Mileage and parking expense must be incurred on January 25, 2018.
At least four people who are attending PT Legislative Impact Day (including the driver being reimbursed) must be transported in the vehicle. Only the driver needs to be a student.
This reimbursement request must be received by March 26, 2018.
If you have any questions about filling out this form or the requirements, please contact
or call (800) 554-5569.
A reimbursement check will be mailed to you within 7-10 business days of PTWA receiving a completed reimbursement request.
Whatcom Community College
University of Washington
University of Puget Sound
Pima Medical Institute
Green River Community College
Mileage Starting Address
Mileage Final End Address
Total Mileage Requested
If total mileage amount is not requested, PTWA will calculate your mileage based on direct route travel between your starting address and final end address listed above.
Names of ALL Passengers/LID Attendees (Must be 4+ passengers)
Amount Paid for Parking
Please email parking receipt to
, if it is available.
By submitting this form, I attest that I meet all of the requirements as specified above and the information I am submitting is correct to the best of my knowledge.
208 Rogers St. NW
Olympia, WA 98502
360.352.7290 or 800.554.5569
Careers & Education
Practice & Patient Care
Payment & Advocacy
Advertising & Exhibiting
News & Information
For the Public
PTWA on Twitter
PTWA on Facebook
PTWA on YouTube
PTWA on Flickr
Search PTWA Site
Switch to Mobile Site