Non-UW Regional Traveler Reimbursement Form

This form is for regional travelers who are not employed by the UW.

UW-employed travelers should complete the Network’s webform.

Please have receipts prepared to submit. Receipts are required for expenses over $75, airfare, lodging, and car rentals.

Traveler Information

Name *For check

Email Address *

Program

Mailing address for check *

Event Information

Event Name *

Event Type *ConferenceFellowshipHybrid Course

Note: fellows are not eligible for meal per diem. Please leave this section blank on the non-employee claim form.

Claim Form

Please download and complete the UW Non-employee Travel Claim Form, then upload here.

To minimize delays, the form must be filled out in its entirety (including start/end times, personal time not taken). Reimbursements cannot be processed without completed forms and will take more time as the travel team reaches out for more information.

Non-employee Travel Claim Form *

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Itemized Receipts

Drag and Drop (or) Choose Files

Required for airfare, lodging, car rentals, and expenses exceeding $75. Receipts must be itemized. For car rentals, please include the final itemized rental agreement.

If you stayed overnight, was your lodging paid for on a personal credit card or directly by the Network? *I paid for lodging on a personal credit card.The Network paid for my lodging directly.Neither; I did not stay overnight.

CommentsPlease include anything else about your trip we need to know.

Form Completed *

I have filled out the claim form in its entirety, and have indicated "No" or "N/A" on any applicable fields.

Acceptance of Network Travel Policies *

Completion and submission of this form indicates your knowledge and acceptance of our travel policies.

Traveler Information

Event Information

Claim Form

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