The document below can be printed or downloaded by hovering over the top right corner of the document display area and clicking on the on the small box with an arrow in it that appears.
Please use this worksheet to organize your itemized expenditures and total them by item within category. The Counselors will not do this for you. You may attach your receipts and documents to this sheet. Some expenditures require additional information in order for us to enter them, so you may be contacted.