Travel Reimbursement Form

Delegates will have 30 days to submit their reimbursement request using the Travel Reimbursement Form (PDF file). A reimbursement check will be mailed to the delegate within 10 business days following the receipt of a fully completed (with documentation as outlined in the instructions) form.

Instructions
1. This form must be filed no later than 30 days after completion of the trip.

2. Receipts must be attached for all transportation expenses and all other expenses.

3. Local Transportation and Miscellaneous Expenses must be itemized on the form.

4. Traveler must sign reimbursement request.

5. All costs paid in advance by the ESI (airfare, hotel, etc.) must be noted in Part II of the form. Attach receipts.

Once you have completed the Travel Reimbursement Form, mail or fax it to the address below no later than 30 days after completion of your trip.

Katrina Sorrell
ESI
1150 Connecticut Avenue, NW
Suite 1100
Washington, DC 20036
fax: 202.628.3812

Travel Reimbursement Form (PDF file)

Note About Opening PDF files: To open this printable form, you must have Adobe Acrobat Reader installed on your computer. It is available for free here.