Manual for ESTRO Teachers

REIMBURSEMENT FORM Please send the signed form with your original receipts to the ESTRO project manager responsible of the course within 30 days from the end of you travel.

DETAILS

Name:

Course:

Date and place:

EXPENSES

Exchange rate**

Amount in EUR

Description

Currency

Per diem

Onsite travel costs ( country of the course)

Local travel costs ( in faculty’s country)

Other expenses*

Total claim

*The per diem covers every cost except for the taxi, public transport, toll, miles with private car and parking incurred for the course. Any other expense must have been agreed with the project manager before. Please note that all reimbursements will be done in Euro. By claiming these costs from ESTRO the undersigned declares not to claim for the same expenses elsewhere. **Please use the rate of www.oanda.com (day of the expense = rate to be used)

Wire the total claim in the last bank account provided.

o

o Wire the total claim in another bank account (please fill in the annex bank details)

Date

Signature

ESTRO AISBL Rue Martin V, 40 - 1200 Brussels – Belgium www.estro.org - education@estro.org Tel: +32 2 775 93 40