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Social Media Campaign Boost Reimbursement Form (2021)

1. Who is filling this out? *This question is required.
This question requires a valid email address.
3. Which social media campaign is this reimbursement form for? Please fill out a new form for each campaign if you participated in more than one. *This question is required.
  • 211 General Awareness includes messaging on rental assistance, health insurance, AND mental health and runs between June 7-18
  • 211 Mental Health includes message on mental health only and runs between June 21-July 2 or September 13-20 (Reimbursements for September due Friday, October 8th)
  • WERA promotion runs June 14 through the week of Aug 30; 6-12 posts are recommended and reimbursements can be submitted for each post as the campaign runs (e.g. if you run a post June 14-21, you can submit your reimbursement for money spent on that post). Reimbursement requests due Friday, Sept 8th
  • Vaccine promotions include messaging to encourage COVID-19 vaccinations in your community. Between now and August 20th, use up to $1,000 total to boost any number of posts. Customizable options are available. Reimbursement requests due August 27th
4. Please specify the dates that this boosted promotion occurred. 
This question requires a valid date format of MM/DD/YYYY.
calendar
This question requires a valid date format of MM/DD/YYYY.
calendar
6. Please attach screenshot or PDF of receipts showing your total dollar amount spent on this campaign. *This question is required.
7. Please attach screenshot of the ad/boosted post(s).
10. Other post activity results (if applicable/available)