Submit Your Expenses

Submit Your Expenses

Use the Family form for all expenses already paid out of pocket.

Use the Provider form to submit a transplant-related medical bill for COTA to pay directly on your behalf.

Before You Submit an Expense:

1

Step #1

Gather all itemized receipts / expenses and separate into categories.

2

Step #2

Scan or take clear photos of all expenses.

3

Step #3

Have appointment or hospitalization documentation ready.

4

Step #4

Call Family Services with any questions! 800-366-2682

Choose Your Grant Application Form