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CPAESS Reimbursement Request

Full name:

Your email:

Phone:

Your institution:

Name of event:

Will you be attending:

In-person

Virtually

Organization hosting the event:

Event start date:

Event end date:

Which items are you requesting reimbursement for?

Virtual event registration

In-person event registration

Abstract

Membership fee

Other…

You may select more than one item.

What are the anticipated costs for each item?

How was this expense paid for?

UCAR T-card

Out of pocket

Additional comments

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Cooperative Programs for the Advancement of Earth System Science

CPAESS Reimbursement Request

NCAR

UCAR