Use this form to request reimbursement for personal and/or travel expenses.

This is the address your reimbursement will be sent to if you don't have direct deposit set up.
For what business purpose was this purchase made?
Is this reimbursement request for an event, or an item(s)?
 Date PurchasedItem PurchasedPurchase LocationPurchase Price
Item
Item
Item
Item
What index number should this reimbursement be charged too?
Please upload ALL receipts pertaining to this reimbursement. Receipts must be legible, itemized and show proof of payment.
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png pdf.
Please upload an invitation and/or event flyer and an attendee list for your event.
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png pdf doc docx ppt pptx.
What was the business purpose of this travel? If for a conference, please include conference title, location, and date.
You can request a mileage reimbursement if you used your personal car to get to the airport or to another destination related to your travel. For travel requiring gas receipts (ie. car rental gas reimbursements), DO NOT claim mileage for that portion of travel.
 DateDeparted FromArrived AtMilesRound Trip?
Trip to:
Trip From
Additional Trip
Please indicate with an "x" if you are requesting meal/lodging per diem for any of the days of your trip.
 DateTimeItineraryBreakfastLunchDinnerLodging
Departure Day
Day 1
Day 2
Day 3
Day 4
Day 5
Day 6
Day 7
Day 8
Day 9
Day 10
Return Date
Please list all expenses here.
 DateExpense DescriptionCurrency (if other than USD)Expense Amount
Expense 1
Expense 2
Expense 3
Expense 4
Expense 5
Expense 6
Expense 7
Expense 8
Expense 9
Expense 10
Did you receive a travel award from the Department, the Graduate School, or other OSU affiliated funding agency?
What is the source of this alternate funding?
What index number should this travel reimbursement be charged too?
Are you requesting reimbursement from multiple funding sources?
What index number should this travel reimbursement be charged too?
What index number should this travel reimbursement be charged too?
Please upload any and all receipts pertaining to this travel. Receipts must be legible, itemized and show proof of payment.
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png pdf ppt.
Please upload any and all receipts associated with this trip. Receipts must be legible, itemized and show proof of payment.
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png pdf doc docx ppt.
Please upload proof of attendance. A copy of your name badge, or a picture of you presenting will suffice.
Files must be less than 5 MB.
Allowed file types: gif jpg jpeg png pdf ppt pptx.