Member Forms

pdf ACH Wire Transfer Form - If you wish to have any reimbursements payable to you to be directly deposited into your account, you may fill out this form, and the information will be securely kept on file. If you need to make a change, simply submit a new form. Download
pdf Proof of Loss Form - If you are covered under a Peace Corps authorization form, and have paid for services out-of-pocket, this form must be completed and returned to IMG along with a detailed itemized bill, payment receipts, and a copy of the Peace Corps authorization form. Download