Non-Employee Travel Reimbursement Form

This reimbursement form is for students who are not employed by the Department of Materials Science and Engineering, College of Engineering, College of Mines and Earth Sciences, College of Science and the University of Utah. All paid employees of the University of Utah will need to access the Concur Travel system to seek reimbursement for travel receipts.

If you have questions regarding this form or process please email Joy.

Non-Employee Travel Reimbursement

Are you an employee of the University of Utah? *

Yes

No

Traveler's Legal Name *

Please use name used on Government issued documentations and ID.

uNID *

Replace the "u" in your uNID number with a 0.

Email Address *

Please provide University issue email

Destination Location *

Please include city and state or country.

Departure Date *

Return Date *

Account/Project *

A numeric account or project number is required for all travel registration forms.

Account/Project Principal Investigator (PI) *

The PI of the stated account/project is required. If you are the PI please note "SELF" in the comment form.

Purpose of Travel *

Attend Conference

Research Collaboration

Committee/Funding Meeting

Other (please explain below)

Please mark all that apply.

Explanation of Travel *

Please explain in DETAIL the purpose of your trip -- what conference you are attending and with whom you are meeting with and why.

Conference Details

Giving Oral Presentation

Giving Poster Presentation

Conference Fee Waived

Conference Provides Meals

If you are attending a conference, please mark all that apply.

Conference Website/URL

Conference/Meeting Registration Receipt

Drop a file here or click to upload Choose File

Maximum upload size: 51.2MB

Conference Documentation (please provide a brochure, print out of session you presented or other meeting documentation showing your name).

Drop a file here or click to upload Choose File

Maximum upload size: 51.2MB

Hotel Receipt

Drop a file here or click to upload Choose File

Maximum upload size: 51.2MB

Days of Per Diem Requested *

Breakfasts Provided (by host and/or hotel) *

Lunches Provided (by host and/or hotel) *

Dinners Provided (by host and/or hotel) *

Car Rental and/or Gas Receipts

Drop a file here or click to upload Choose File

Maximum upload size: 51.2MB

Personal Miles Requested

Taxi, Bus/Shuttle, Uber/Lyft Receipts

Drop a file here or click to upload Choose File

Maximum upload size: 51.2MB

Misc. Travel Expenses (airfare, poster printing, internet access, etc.)

Drop a file here or click to upload Choose File

Maximum upload size: 51.2MB

If you are human, leave this field blank.