Travel Reimbursement Speakers

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 authorized to receive these funds for travel and that I am not seeking the same reimbursement elsewhere.