Read the Certification For Reimbursement, sign and date the form. Make a copy for your records. 5.Follow the steps below to complete the required Program Budget forms. Claim Reimbursement Instructions​​ 1. Obtain a claim reporting form from your school. Complete the form and mail to School. 1. Complete all sections of this form, including your signature and date in the Customer Certification statement. 2. Submit a separate form for each request. , out-of-network doctors and hospitals). How do I file a claim?