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You are here: Home / Pick-Up Iowa Reporting Form for Reimbursement

Pick-Up Iowa Reporting Form for Reimbursement

Please complete the form below to report on your Pick-Up Iowa event and receive reimbursement for your purchases.

Pick-Up Iowa Reporting with Reimbursement

  • Point of Contact Information

  • Project Information

  • If your Pick-Up Iowa event was associated with a specific group or organization, please include the organization or group name.
  • MM slash DD slash YYYY
  • If you are unsure, please provide your best estimate.
  • If you are unsure, please provide your best estimate.
  • If you are unsure, please provide your best estimate.
  • Examples: road, street, lake, pond area, park, school, neighborhood, cemetery, etc.
  • Photos

  • If you took photographs of your event and are willing to share them with Keep Iowa Beautiful, please upload them here.
    Drop files here or
    Max. file size: 50 MB.
    • Social Media Links

      We’d like to share your Pick-Up Iowa event success on Keep Iowa Beautiful social media. Please provide any applicable handles so we can promote your event.
    • Reimbursement Information

      Please provide the information below to receive your reimbursement. As a reminder, reimbursable expenses may include pick-up supplies (i.e. trash bags, gloves, trash grabbers, etc.) and volunteer incentives (i.e. food, non-alcoholic beverages, etc.).
    • Drop files here or
      Max. file size: 50 MB.

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      West Des Moines, Iowa 50266

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