This form is for reimbursement of any out of pocket expenses where your Twic Benefits Card was not used, and you do not have a detailed itemized receipt. Please submit this form with your supporting documents, such as an email invoice or bank statements as proof of the payment via

Should you have any questions, please contact our member experience team via Live Chat, email to, or call us at 844-902-2902

Reimbursement Form Download Link HERE.

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