Sponsored or Reimbursed Travel Reporting Form for NIH Investigators

* Required

PHS requires the reporting of any reimbursed travel or sponsored travel (i.e., that which is paid on your behalf and not reimbursed directly to you) that is related to your professional expertise or institutional responsibilities.

NOTE: You do not need to include travel that is reimbursed or sponsored through Brown or by a Federal, state, or local government agency, an institution of higher education, an academic teaching hospital, a medical center, or a research institute that is affiliated with an institution of higher education.

Please report below the Sponsor/Organizer, the Destination, the Duration, and Purpose of your trip(s). Please note that if you have already reported a previous trip using this form, you do not need to report it again.

If you know that you will be conducting more sponsored or reimbursed travel in 2013, you may report it prospectively here. Otherwise, you must report it within 30 days of your return by accessing this form again.

Please contact us with any questions at katherine_duggan@brown.edu or 401-863-7233

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