Cowles Summer Conference Participant Request for Travel Reimbursement 2024

* = required field

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Cowles Seal

Cowles Foundation for Research in Economics

COWLES SUMMER CONFERENCE
PARTICIPANT REIMBURSEMENT FORM*

Please upload any/all receipts for airfare (economy only), rail and/or ground transportation by using the file upload section below.

Receipts must be itemized and show proof of payment (i.e., if paid by credit card the receipt should show the last 4 digits of the credit card).

REIMBURSEMENT REQUEST DEADLINE - Friday, August 30, 2024

BUSINESS PURPOSE OF TRIP:

Cowles Foundation 2024 Summer Conferences

June 3-7, 2024

*This form is best used with Chrome, Edge, Firefox, or Safari. Internet Explorer is not recommended as it is no longer supported by Microsoft and my cause issues when filling out this form.

First Name(s):

Last Name(s):

Visitor Requesting Reimbursement

Email:

Phone Number:

Home Address:

Street Address:

Unit #:

City:

State/Country:

Zip/Postal Code:

Is your Mailing Address different from your Home Address?

Yes

Mailing Address:

Street Address:

Unit #:

City:

State/Country:

Zip/Postal Code:

CITIZENSHIP

Select one and follow instructions

I am a...

U.S. Citizen

Permanent Resident

Non-U.S. Citizen

Country of Citizenship:

Visa Status:

All visa holders must complete the W-8BEN IRS tax form.

Complete the form in your browser and save to your device. Then, upload your completed form below.

W-8BEN Tax Form

TRAVEL EXPENSES
Enter your travel expenses*

Currency used was $USD?

Yes

Airfare (economy):

Rail:

Taxi/Car Service:

Car Rental + Gas for rental:

Tolls:

Parking:

Auto Mileage:

Auto Milage x $0.67 per mile =

Upload screenshot of map showing route and milage:

Do you have other travel expenses you would like to list?

Yes

Total:

ex: $ 99999999.99

RECEIPTS
Please upload any receipts related to expenses submitted on the above form.
We will accept a legible scan, photo, or screenshot of the receipt.

PAYMENT OPTIONS
Please select how you would like to be reimbursed.

Payment Options

Check

Must complete the 3401 FR.02 Supplier Payment Setup: ACH/EFT form.

Complete the form in your browser and save to your device. Please pay close attention to Section 3, and be sure to provide the additional bank documents required. Then, upload your completed form below.

ACH Payment Form

Must complete the 3401 FR.01 Supplier Payment Setup: Wire Transfer form.

Wire Transfer Payment Form

Kindly submit reimbursement requests within 30 days of travel.

For questions, please contact Darlene Smith at darlene.a.smith@yale.edu.

Additional Comments

Today's Date:

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Cowles Summer Conference Participant Request for Travel Reimbursement 2024

Cowles Foundation for Research in Economics

COWLES SUMMER CONFERENCE PARTICIPANT REIMBURSEMENT FORM*

COWLES SUMMER CONFERENCE
PARTICIPANT REIMBURSEMENT FORM*