Carpooling Reimbursement Pre-Approval Request
Before filling out this form, please read our carpooling policy in its entirety on our Registration Policies page: https://clrc.org/registration-policies/

You may then use this form to indicate your intention to carpool with others to a CLRC event that has explicitly indicated carpooling reimbursement will be honored.

Once completed, you'll receive an email from a CLRC staff member to confirm whether your request has been approved and with further instructions regarding submission of the details of your trip for reimbursement.

Email address *
Your Name *
Your answer
Your Institution *
Your answer
Estimated Departure Location (Name/Address) *
Your answer
Event Location (Name) *
Your answer
Do you expect to incur tolls on your trip? *
How many people do you expect to have in your car? (Please note that if you're a Mid-York staff member we ask that you have at least two, including yourself; if a non-Mid-York staff member we ask that you have three or more, including yourself.) *
Additional notes
Your answer
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