Research Reimbursement

Research Reimbursement Form

STOP! READ. OUR. GUIDELINES.
Before you fill this form out, READ OUR GUIDELINES. We have had multiple submissions with common errors that have forced us to reject their reimbursements as BU will NOT process them. These include: failing to include your name on ALL receipts, submitting BEFORE the conference occurs, and submitting too late. Please double check everything prior to submitting this form.
Student Information
Full Name (First and Last)*
Email*
Student Address (reimbursement check will be mailed here)*
Street Address Address Line 2 City State ZIP Code

Make sure you have access to this address for the next 6-8 weeks!
Conference/Event Information
Event or Conference Name*
Event Start Date*
MM
DD
YYYY
Event End Date*
MM
DD
YYYY
Conference Registration Email (.pdf or .jpg)*
Accepted file types: pdf, jpg.
Receipt/Reimbursement Information
SCOMSA Funding Approval Email (.pdf or .jpg)*
Accepted file types: pdf, jpg.
Total Cost*
Expected amount you will receive from SCOMSA*
All ITEMIZED Receipts (PLEASE READ): Scan and upload ONLY ONE RECEIPT per .pdf or .jpg. PLEASE NAME FILES: "Last Name, First Name MM-DD-YY dollar.cents" (For Example: Doe, Jane 12-25-16 100.00)*
Invoices or estimates are not accepted. Your name and the name of the vendor/business must be clearly visible on the receipt. IF THIS IS FOR A CANCELLED FLIGHT: please include proof of cancellation AND attempts to request refunds from the airlines.
Drop files here or

Accepted file types: pdf, jpg.
Please list the date, description, and amount of all Transportation Expenses*
Date Description Amount

If not applicable please write in N/A or $0
Please list the date, description, and amount of all Accommodation Expenses*
Date Description Amount

If not applicable please write in N/A or $0
Please list the date, description, and amount of all Food Expenses (Maximum $25 per day)*
Date Description Amount

If not applicable please write in N/A or $0
Please list all outside sources of funding (out-of-pocket, department funding, etc.)*
Outside Source of Funding Amount

If not applicable please write in N/A or $0
Additional Comments
Confirmation of proper receipts.*
- I uploaded only itemized receipts with the proper file name format and with my name and the vendor's name visible. I understand that failure to follow these guidelines may delay my reimbursement.
Confirmation Email*
- I am aware that I should receive an automated confirmation email within minutes of submitting this form and a personal email from the SCOMSA treasurer.

Date	Description	Amount

Date	Description	Amount

Date	Description	Amount

Outside Source of Funding	Amount

Research Reimbursement

Research Reimbursement Form

STOP! READ. OUR. GUIDELINES.

Student Information

Conference/Event Information

Receipt/Reimbursement Information