Department Travel Award Reimbursement

Travel Award Reimbursement Request Form (Goldhaber / ICSSA)

Departments are asked to disburse the Graduate School Travel Award amount to an awarded student. Once reimbursed, departments can use this form to request a reimbursement from the Grad School. Please submit a separate request for each student and for each award.

Requests must be received within six months after the student returns from the conference. Questions about this process can be sent to Robyn Kotzker at rkotzker@umd.edu.

Please select which travel award you are requesting reimbursement for:

Goldhaber Travel Award
International Conference Student Support Award (ICSSA)

Please provide the student information for whom you are submitting the request.

First Name

Last Name(s)

Department

Trip Number or Request ID

Award Amount

Usource Number to Reimburse

Conference Name

Conference Location