Source: NC AGROMEDICINE INSTITUTE

Name of Farm or Individual to be reimbursed: ____________________________________________________________ Address____________________________________________________________________________________________

City ___________________________________________ State: North Carolina Zip ____________________________

County: ___________________________________________________________________________________________ Telephone Number (Business) _______________________________ (Mobile) __________________________________

Email Address: ______________________________________________________________________________________ 

RECEIVE UP TO $1,000/MIGRANT HOUSING UNIT FOR:
Purchase of devices such as hotspots, routers, modems, and antennas Set up fees • Service payments 

With internet connectivity, we understand there is not one solution that fits all. While fiber optics or cellular data may of fer the best support for internet connection, every farm is dif ferent, and solutions may vary. The goal is to have a feasible solution that of fers immediate and long-term capabilities. Future funding to provide ongoing internet service support is to be determined. Farms should consider service plans feasible to what they or the farmworkers could support in the long-term.

 
To receive reimbursement:  
-ECU requires that you also complete an online ECU Vendor request form. NC Agromedicine Institute will initiate this procedure. You will receive an email invitation from Support@Sciquest.com which will contain a link for you to go online to complete the form and upload your W-9 form. Once this process is complete, you will be set up with a 'Banner ID’ – a unique number which will guard your identity and replace your Social Security number or your TIN. Failing to complete this process will void your request for reimbursement. 
-Complete itemized reimbursement request (contact Robin Tutor  tutorr@ecu.edu 252.744.1008 ) and provide copy of receipts.
-Return completed reimbursement request form to:
North Carolina Agromedicine Institute
Attn: Dr. Robin Tutor Marcom
1157 VOA Site C Road 
Greenville, North Carolina 27834