Travel Reimbursement Submission Form

Instructions

Please fill out the following form to receive your reimbursement for travel expenses from Alfred University. We will accept receipts for expenses directly related to travel or lodging for the visiting student and one guest, but will not provide reimbursement for food or goods purchased in relation to travel, or expenses for additional guests that may choose to attend. This form must be completed and receipts must be uploaded within 5 business days from your Alfred University campus visit. Any reimbursement requests completed after that time cannot be guaranteed.

Please compile your receipts into a single PDF and submit using the form below. If you are having difficulties uploading or sending your receipts, please contact Janet Lynch at lynch@alfred.edu for assistance.

Personal/Contact Information

Legal First Name

Chosen/Lived Name (if different from legal first name)

Last Name

Birthdate

Student Banner ID#

Email Address

What visit did you attend? Please include the date and time.

Reimbursement Request Information

Please confirm your approved travel funding reimbursement amount

What is the total amount of reimbursement you are requesting? (must be less than or equal to the total amounts reflected on submitted receipts)

This check will be made out to the student. Please confirm the mailing address to ensure the check will not be misdirected in the mail. Thanks!

Please upload your receipts here. If you cannot upload your receipts using this method, please email them to lynch@alfred.edu. No reimbursements will be processed without supporting receipts.