SmartBenefit Voucher TVM Mail-In Reimbursement Form
Complete this form and send it to VRE with your Vouchers and VRE will refund your credit card for the amount of the SmartBenefit Vouchers you
send in, up to the cost of the ticket(s). (Please
do not tape or staple your SmartBenefit Vouchers to this form.)
Only for tickets purchased at station ticket machines (TVMs) using
a credit card, in a single purchase.
- SmartBenefit Voucher credit can only be given for tickets purchased with
credit cards.
- Debit card charges cannot be refunded.
- Visa Check Card and MasterCard Maestro cards count as credit card purchases.
- Please attach your original or a copy of your original ticket(s)
or receipts(s).
Credit Card # used
to purchase ticket(s): |
Expiration Date: |
| $ Value of Vouchers sent
(in this envelope): |
Approval # (Office Use Only): |
| Name: |
| Address: |
| City/State: |
Zip: |
| Daytime Phone: |
Evening Phone: |
| Employer: |
- Please complete and mail this form to VRE with your Vouchers within
30 days of ticket purchase.
- The SmartBenefit Voucher Mail-in Reimbursement Program is good for all types of
tickets purchased at the station TVMs.
- Mail to:
Virginia Railway Express
1500 King Street
Suite 202
Alexandria, VA 22314
|