{"id":6643,"date":"2025-12-19T16:03:20","date_gmt":"2025-12-19T21:03:20","guid":{"rendered":"https:\/\/can.girlguides.ca\/?page_id=6643"},"modified":"2025-12-19T16:03:42","modified_gmt":"2025-12-19T21:03:42","slug":"qc-first-aid-reimbursement-form","status":"publish","type":"page","link":"https:\/\/can.girlguides.ca\/index.php\/qc-first-aid-reimbursement-form\/","title":{"rendered":"QC &#8211; First Aid Reimbursement Form"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_987' style='display:none'><form method='post' enctype='multipart\/form-data'  id='gform_987'  action='\/index.php\/wp-json\/wp\/v2\/pages\/6643' data-formid='987' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_987' class='gform_fields top_label form_sublabel_below description_above validation_below'><fieldset id=\"field_987_3\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Name<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_987_3'>\n                            \n                            <span id='input_987_3_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_3.3' id='input_987_3_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_987_3_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_987_3_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_3.6' id='input_987_3_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_987_3_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_987_5\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_987_5'><span class='gform-field-label__text'>iMIS #<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_987_5' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_987_4\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Email<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_987_4_container'>\n                                <span id='input_987_4_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_4' id='input_987_4' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_987_4' class='gform-field-label gform-field-label--type-sub '>Enter Email<\/label>\n                                <\/span>\n                                <span id='input_987_4_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_4_2' id='input_987_4_2' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_987_4_2' class='gform-field-label gform-field-label--type-sub '>Confirm Email<\/label>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/fieldset><fieldset id=\"field_987_6\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datefield gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Date of course completion<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div id='input_987_6' class='ginput_container ginput_complex gform-grid-row'><div class='gfield_date_month ginput_container ginput_container_date gform-grid-col' id='input_987_6_1_container'>\n                                        <input type='number' maxlength='2' name='input_6[]' id='input_987_6_1' value=''   aria-required='true'   placeholder='MM' min='1' max='12' step='1'\/>\n                                        <label for='input_987_6_1' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Month<\/label>\n                                    <\/div><div class='gfield_date_day ginput_container ginput_container_date gform-grid-col' id='input_987_6_2_container'>\n                                        <input type='number' maxlength='2' name='input_6[]' id='input_987_6_2' value=''   aria-required='true'   placeholder='DD' min='1' max='31' step='1'\/>\n                                        <label for='input_987_6_2' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Day<\/label>\n                                    <\/div><div class='gfield_date_year ginput_container ginput_container_date gform-grid-col' id='input_987_6_3_container'>\n                                        <input type='number' maxlength='4' name='input_6[]' id='input_987_6_3' value=''   aria-required='true'   placeholder='YYYY' min='1920' max='2027' step='1'\/>\n                                        <label for='input_987_6_3' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Year<\/label>\n                                   <\/div>\n                               <\/div><\/fieldset><div id=\"field_987_7\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_987_7'><span class='gform-field-label__text'>Course cost<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_7' id='input_987_7' type='text' step='any'   value='' class='small'     aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_987_8\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='gform_browse_button_987_8'><span class='gform-field-label__text'>Upload proof of course payment<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_987_8' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_987_8&quot;,&quot;container&quot;:&quot;gform_multifile_upload_987_8&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_987_8&quot;,&quot;filelist&quot;:&quot;gform_preview_987_8&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/can.girlguides.ca\\\/?gf_page=9cdf121712f3bba&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/can.girlguides.ca\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/can.girlguides.ca\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Allowed Files&quot;,&quot;extensions&quot;:&quot;pdf,doc,docx,jpg,jpeg,tiff,png,xls,xlsx&quot;}],&quot;max_file_size&quot;:&quot;8388608b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:987,&quot;field_id&quot;:8,&quot;_gform_file_upload_nonce_987_8&quot;:&quot;33ef16c956&quot;},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_987_8&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phar&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_987_8' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>Drop files here or <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_987_8' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_987_8\"  >Select files<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_987_8'>Accepted file types: pdf, doc, docx, jpg, jpeg, tiff, png, xls, xlsx, Max. file size: 8 MB.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_987_8'><\/ul> <div id='gform_preview_987_8' class='ginput_preview_list'><\/div><\/div><\/div><fieldset id=\"field_987_9\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Are you set up with direct deposit?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_987_9'>\n\t\t\t<div class='gchoice gchoice_987_9_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='Yes'  id='choice_987_9_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_987_9_0' id='label_987_9_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_987_9_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='No, but I&#039;m OK to wait for a cheque'  id='choice_987_9_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_987_9_1' id='label_987_9_1' class='gform-field-label gform-field-label--type-inline'>No, but I'm OK to wait for a cheque<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_987_9_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='No, I will fill out the direct deposit form'  id='choice_987_9_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_987_9_2' id='label_987_9_2' class='gform-field-label gform-field-label--type-inline'>No, I will fill out the direct deposit form<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_987_10\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  >Download the <a href=\"https:\/\/www.girlguides.ca\/WEB\/Documents\/QC\/Direct-Deposit-Form.xlsx\" target=\"_blank\" rel=\"noopener\">Direct Deposit Form<\/a>, complete it and email it to qc-ap@guidescanada.ca.<\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <button type='submit' id='gform_submit_button_987' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' >Submit<\/button> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_987' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_987' id='gform_theme_987' value='gravity-theme' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_987' id='gform_style_settings_987' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_987' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='987' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='CAD' value='ti7XhFyfCcwf+xXhwcg+xEXT7y7IKKxd1M\/qYjfOAMqCy1owl9to\/NighqllyOumHPLFS6mlGDJ8Bg6aN1wyekpKeVtb9OZV5cY5L47lHIk58Cg=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_987' value='WyJ7XCI5XCI6W1wiNzg1YWFmYWQ1YWQyMTJhNjAzYjZjOGZiY2E1MTQ0NWJcIixcIjQwMTIxNmIzODg4NWNlZWZhYTQxYmMzMThmNzI4NjllXCIsXCI4NjEwZWNhN2MwODcwYjk2MzE3Y2Y0YmMxYmUyNzcwN1wiXSxcImdmb3JtX3N1Ym1pc3Npb25fbWV0aG9kXCI6W1wiNDI4ZDgyZmM3YzgwNDU2MGZjOWRhZDU2ZWRhZjZhMGRcIixcIjgxMzFlMTdhMjVlOTk2NWM1YTM4ZWI2ZWZlZGEyNTkyXCJdLFwiZ2Zvcm1fdGhlbWVcIjpcImNmOWM1MGZhYzljMzgzYTBkNGUwMjU0NjcwNzJmYmVmXCIsXCJnZm9ybV9zdHlsZV9zZXR0aW5nc1wiOlwiMTYyMWNlYTA4MzI1Y2JiODhjZTliZTRkMzYyYWI3ZDJcIixcImZvcm1faWRcIjpcIjgwZTFkZWIwNDhhMjUzNzgzNWM1NWJiNjNjNmRlM2VlXCIsXCJ1cmxcIjpcIjJhZWFmYmJiNzQyNjMwYWQ3YWU5ZjgxNjNjZGQwNjA3XCIsXCJzdGF0ZV90aW1lc3RhbXBcIjpcIjhlODRhMGY3NGQ0YWYzMGM2ZTE2Yzg4NWU5MzY0NmVmXCJ9IiwiMjMxY2FjNWU3MzNlN2NmMjFlNWRmNDE3ZDdkMDBhNzQiLDE3OTI3NjQ1NjRd' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_987' id='gform_target_page_number_987' value='0' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_987' id='gform_source_page_number_987' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            <input type='hidden' name='gform_uploaded_files' id='gform_uploaded_files_987' value='' \/>\n        <\/div>\n                        <\/form>\n                        <\/div><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":"","_members_access_role":[],"_members_access_error":""},"class_list":["post-6643","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/can.girlguides.ca\/index.php\/wp-json\/wp\/v2\/pages\/6643","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/can.girlguides.ca\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/can.girlguides.ca\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/can.girlguides.ca\/index.php\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/can.girlguides.ca\/index.php\/wp-json\/wp\/v2\/comments?post=6643"}],"version-history":[{"count":2,"href":"https:\/\/can.girlguides.ca\/index.php\/wp-json\/wp\/v2\/pages\/6643\/revisions"}],"predecessor-version":[{"id":6645,"href":"https:\/\/can.girlguides.ca\/index.php\/wp-json\/wp\/v2\/pages\/6643\/revisions\/6645"}],"wp:attachment":[{"href":"https:\/\/can.girlguides.ca\/index.php\/wp-json\/wp\/v2\/media?parent=6643"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}