The Joomla! Project - Reimbursement Form

Please complete the form below in order to process your reimbursement.

Before continuing, you will need :

1. One PDF of all your receipts (5 MB maximum) to complete the form.
2. Details of your expenses in your currency

Summary

First Name(*)

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Last Name(*)

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Phone Number

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E-mail Address(*)

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Confirm E-mail Address(*)

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Purpose

Why are you requesting this reimbursement? An event perhaps?(*)

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Start Date(*)

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End Date(*)

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Project Role(*)

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Expense to Department(*)

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Expenses

Currency

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Airfare

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Accomodations

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Entry Fee / Event Ticket

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Taxi, Bus and Rail

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Meals

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Other

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Total of Expenses

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Other Expenses Explanation

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Receipts

PDF Receipts(*)

File upload is required

Create a PDF (5.0 MB maximum) that shows all your receipts in a single file and select it below.

Use this free service to create, merge and compress PDFs as needed: http://smallpdf.com/

You can upload maximum of 5 PDF files.

Payment Methods

Depending on which Country you are from, we may use different payment methods.
If you are in the United States, the preferred payment method is Veem. Alternate methods available: PayPal (no business account).
If you are from outside the United States, the preferred payment method is Wise. Alternative methods available: PayPal (no business account), Veem. Some payment methods may apply a service fee, so you may not receive the full amount back.
We are not able to use payment methods different from those listed in this form.

Payment method(*)

A payment method is needed.

Payment method address(*)

This field is needed to be able to process payment.

If you selected Wise, please type here the following details: Full Name, Full Address, Country, IBAN and BIC.

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