Travel Reimbursement Speakers

This is NOT for Travel Awardee’s. If you are seeking reimbursement from a Travel Award please refer to the instructions you received in your award email.

Travel Reimbursement-Symposia Speakers

"*" indicates required fields

Name*
Address*
We recommend that you provide a home address for your check since that will generally lead to quicker more secure delivery. If at all possible, we recommend not using address Line 2.
You need to include the email address of the symposia organizer or regional meeting organizer--the person who is communicating with you directly on how to get reimbursed.
Include the name of the symposia where you gave your talk at the ACS Meeting or the case of a regional meeting provide the name of that meeting and if applicable symposia name.
MM slash DD slash YYYY
Include the date of your presentation/talk.
Receipts are required for all expenses. Hotel, meeting registration and transportation costs are eligible for reimbursement. Meal expenses are not eligible for reimbursement.
In a single PDF file that you upload below, please be sure to include: the reimbursement form and all relevant receipts. Name the file using the format: lastname_firstname_$xx.xx.pdf where $xx.xx is the amount to be reimbursed i.e. Smith_Jane-$576.83.pdf.
Accepted file types: pdf, Max. file size: 98 MB.
Reimbursement Confirmation*
I certify that I am authorized to receive these funds for travel and that I am not seeking the same reimbursement elsewhere. I also certify that I am submitting this claim on time (likely within 14 days after end of the meeting-program officers are required to have this to the treasurer within 30 days of a meeting and the Treasurer must complete all reimbursements with 45 days), otherwise I may not be eligible for reimbursement and/or I may have to claim this reimbursement to IRS as income.
Reimbursement Acknowledgement*
I acknowledge that this form is for symposium speakers and organizers and that I am not the recipient of a DOC travel award (for students, post docs, and PUI faculty) which uses a different form that requires login to the website and DOC membership as described in the award letter