Graduate Student Reimbursement Form

The Graduate Reimbursement Form must be submitted within 30 days following your approved travel period. Your reimbursement will be sent by check to the specified name and mailing address. Please contact your department’s administrative coordinator for any questions regarding this process.

Teaching & Learning: Claire Serrano (claire8@bu.edu)
Counseling Psychology & Applied Human Development, Language & Literacy Education: Charlotte Kaufman (ckaufma1@bu.edu)
Educational Leadership & Policy Studies: Karen Martinez (karencmm@bu.edu)

Name*
First Last
BU Email*
Please select your department.*
Degree Program*
Program Name
(e.g., Child Life, Higher Education Administration, Deaf Education)
Expected Graduation Semester/Year*
(e.g., Fall 2023)
Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Type of Scholarship/Fund*
Conference Name*
Travel Start Date*
Date Format: MM slash DD slash YYYY
Travel End Date*
Date Format: MM slash DD slash YYYY
Total Number of Receipts*

Please list the following information for each receipt.*

It is also recommended that the title of each receipt file uses the following format: TransactionDate_Vendor_Amount (e.g., 5-5-22_Amtrak_128.50).

Transaction Date	Vendor Name	Expense Category (e.g., breakfast, lunch, dinner, snack, alcohol, transportation, hotel, etc.)	Amount (Please do not convert currencies. Indicate non-USD currencies next to amount.)

Total Amount Spent*
Please upload each receipt separately in PDF format (5MB max per receipt).*
All food receipts must be itemized and alcoholic beverages must be clearly marked. For group meal receipts, please identify which items you ordered individually. Only individual expenses are reimbursable. If the receipt is missing the transaction date, vendor name, or itemization, please mark up the receipt or add the information in the comment section below. Receipts that do not meet these guidelines may not be accepted.
Drop files here or

Accepted file types: pdf.
Additional Comments (Optional)