Hematology Expense Reimbursement Form

Please use this form for expense reimbursement or for Pcard/Tcard verification including fees, lodging, meals, airfare, transportation, etc.

Please enter Last Name, First Name

Please enter your email address

Please enter today's date

Transaction
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If Student/Postdoc, please fill the Student Certificate for Authorized Expense and obtain signature from PI https://fingate.stanford.edu/business-travel-expenses/form/student-certificate-authorized-expenses

Select or enter value
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Please enter the total amount of reimbursement

Please provide the names of the attendees. If it is a longer list, mention list attached and attach the list.

Describe the event, meeting, conference or the PCard Charge

Please enter the city and place where the event was held

Please enter the name of the Project and the PTA (if known) for which this expenditure was incurred Mention STAP and attach signed STAP form for STAP reimbursements https://stanford.box.com/s/g9obsduwjeiv71fm8p2xw25s2pvebok9

Please enter why this expenditure is justifiable for the project/PTA

When the expenditure was incurred

Conference related expenses?

Please indicate the start and end date of the travel period

Please enter the amount

Please enter the name of the Vendor for gift purchases or reimbursement of materials purchased

Enter amount

Enter Amount

Enter amount for Uber, Lyft, Taxi

Enter Amount

Please enter amount for breakfast

Enter Amount for Lunch

Please enter amount for snacks

Please enter amount for Dinner

Enter Amount

Select
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Please enter the amount allowed per day for the city

Please mention category of allowance, how many days, etc. Travel days are considered half days. Please refer to current guidelines

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