Western Algebraic Geometry Symposium | WAGS Reimbursement Form – Department of Mathematics

Email:(Required)

Home phone:(Required)

Describe purpose of travel(Required)

Date of Departure:(Required)

Date of Return:(Required)

Airfare total to be reimbursed:(Required)

Upload a file of airfare proof of purchase/receipt with amount clearly shown(Required)

Drop files here or

Max. file size: 40 MB.

Parking total to be reimbursed(Required)

Upload proof of purchase/receipt for parking

Drop files here or

Max. file size: 40 MB.

Required for any expenses over $25

Personal vehicle mileage total to be reimbursed (To/From Airport):(Required)

Upload a screenshot of navigation/map of trip with mileage clearly shown(Required)

Drop files here or

Max. file size: 40 MB.

Ground transportation total to be reimbursed (To/From Airport)(Required)

Ride Share/Shuttle/Public Transportation etc.

Upload proof of purchase/receipt for ground transportation To/From Airport

Drop files here or

Max. file size: 40 MB.

Required for anything over $25

Personal vehicle mileage total to be reimbursed:(Required)

Upload a screenshot of navigation/map of trip with mileage clearly shown(Required)

Max. file size: 40 MB.

Parking total to be reimbursed(Required)

Upload proof of purchase/receipt for parking

Drop files here or

Max. file size: 40 MB.

Required for any expenses over $25

Lodging total to be reimbursed(Required)

Upload proof of purchase/receipt for lodging(Required)

Drop files here or

Max. file size: 40 MB.

Describe other purchase/s to be reimbursed(Required)

Items that can be reimbursed: Airfare, personal vehicle mileage, parking, ground transportation to/from airport: ride shares, shuttle, public transportation, lodging

Other purchases total to be reimbursed(Required)

Upload proof of Purchase/Receipt for Other Purchases Total(Required)

Drop files here or

Max. file size: 40 MB.

Colorado State University

College of Natural Sciences

WAGS Reimbursement Form