National Police Week Travel Reimbursement

If you have attended National Police Week 2025 and are requesting financial reimbursement. You must of submitted a request for reimbursement prior to travel. Please fill out and submit the form form below for reimbursement from the Iowa C.O.P.S. chapter.

All requests for travel reimbursement assistance must be received no later than May 31, 2025 so that the board may have time to review and vote on all submissions. Submission of a travel assistance request will be completed as soon as possible after Iowa C.O.P.S. board approval.

Applicant Information
Name*
First Last
Email*
Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Dependents Requesting Reimbursements?*
- Yes
- No
Dependents
Dependent
Name Age Relationship to Fallen Officer
Dependent
Name Age Relationship to Fallen Officer
Dependent
Name Age Relationship to Fallen Officer
Dependent
Name Age Relationship to Fallen Officer
Dependent
Name Age Relationship to Fallen Officer
Fallen Officer Information
Your Relationship to the Fallen Officer*
Officer's Name*
First Middle Last
End of Watch Date*
Agency of Fallen Officer*
Receipts for Reimbursement
File*
Drop files here or
Event's Attended in DC
Please select All that you attended.*
- Select All
- Candle Light Vigil
- Day 1 of NPW Conference
- Memorial Service at National Capital
- Day 2 of NPW Conference
Additional Information
Signature
Signature*
By typing your name you agree that all information above is correct.

Applicant Information

Dependents

Fallen Officer Information

Receipts for Reimbursement

Event's Attended in DC

Signature