Health Union Connexion 2018 Reimbursement Form
We want to make it as easy as possible to attend the Health Union Connexion conference in March, so Health Union is happy to reimburse up to $450 of pre-booked travel expenses (flight, train, etc.) and ground transportation from the airport to the conference.

For our own records (and to help with future events) we’re asking that you submit any/all receipts for reimbursement along with a brief explanation of what the receipt was for. But you might be wondering: What type of expenses will be reimbursed? Hopefully this list will help!

Travel purchases reimbursed (up to $450 total)
· Flight to and from Philadelphia for the conference
· Train ticket to and from Philadelphia
· Mileage for those driving to the event - $0.50/mile
· Ground transportation from the airport to and from the conference or hotel
· Parking fees at the airport/train station, hotel, or other
· Travel meals (if you are taking a long flight or train ride that spans a meal, we will reimburse you for the cost of that meal)

We will NOT cover:

-Personal toiletries
-Pet related expenses
-Pharmacy receipts for medical ointment, supplies, gum, powder, etc.
-Costs associated with travel occurring before or after the Connexion conference (Personal travel)

Receipts must be submitted within 30 days of purchase. For timely reimbursement, submit complete copies of receipts showing the entire receipt, the date and time, and what was purchased. We will then process these requests and reimburse you within 15 business days of submission. If you have not received anything within 15 business days, certainly reach out to ensure we received everything!

If you have any questions about these guidelines please reach out to Joanna Bodner (joanna.bodner@health-union.com).

Email address *
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Last Name *
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Reimbursement #1
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Upload Your Receipts
Please upload your receipts to our Dropbox folder (http://bit.ly/2ykoNog), following this naming format:
· LastNameFirstInitial_Description.filetype
· Example: SmithJ_plane.pdf or SmithJ_train.pdf
A copy of your responses will be emailed to the address you provided.
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