Department of Media, Culture,
and Communication
239 Greene Street
New York, NY 10003
P: 212 998 5191
F: 212 995 4046
steinhardt.nyu.edu/mcc
Reimbursement Submission Form
Full Name: Last Mailing Address: Street Address City First M.I. Apartment/Unit # State ZIP Code Email: Phone: Award: Reason for Expense(s): Approved Amount: Documentation Check List o
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Travel Business Meals Research Supplies Award letter or email approval o Award letter or email o Award letter or email for the expense approval for the expense approval for the expense Airfare confirmation and hotel o Itemized meal receipt and o Itemized receipt(s) showing folio showing proof of payment payment slip proof of payment Boarding passes o List of guests in attendance Conference name badge Conference agenda/program or email invitation o Missing/Inadequate Documentation Report form (if applicable) Signature: Date: