Sponsored or Reimbursed Travel Reporting Form for NIH Investigators
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.
Sponsor/Organizer, past trip 1
Destination, past trip 1
Duration, past trip 1
Purpose of trip, past trip 1
Comments about past trip 1 (optional)
Sponsor/Organizer, past trip 2
Destination, past trip 2
Duration, past trip 2
Purpose of trip, past trip 2
Comments about past trip 2 (optional)
Sponsor/Organizer, past trip 3
Destination, past trip 3
Duration, past trip 3
Purpose of trip, past trip 3
Comments about past trip 3 (optional)
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.
Purpose of trip 1
Comments about Trip 1 (optional)
Purpose of trip 2
Comments about Trip 2 (optional)
Purpose of trip 3
Comments about Trip 3 (optional)
Please contact us with any questions at email@example.com or 401-863-7233
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