TREC Knowledge & Education Expansion Project (KEEP) Reimbursement Form Today's Date: Requestor's Name: Street Address: TREC Center: Amount Specified in Approved KEEP Proposal: $ _________________ Airfare Lunch Cabs, Date or Lodging Bus, Other Personal Parking Car Totals Total Expenses (Reimbursement Requested): _____________________ Requestor Signature: Date: TREC Center Approval: Date: (TREC Center Principal Investigator or designee) Administrative Use Approval: Date:
TREC Knowledge & Education Expansion Project (KEEP) Reimbursement Form Today's Date: Requestor's Name: Street Address: TREC Center: Amount Specified in Approved KEEP Proposal: $ _________________ Date Airfare or Personal Car Lodging Lunch Cabs, Bus, Parking Other Totals Total Expenses (Reimbursement Requested): _____________________ Requestor Signature: Date: TREC Center Approval: Date: (TREC Center Principal Investigator or designee) Administrative Use Approval: Date:
YR-3-Reimbursement-Form.docx