Expense Reimbursement Form - Samsi Page 2
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1
2Documentation Requirements
Receipts for air travel must include ticket number, traveler’s name, date of travel, total charg
e.
A
ccommodation expenses can include only the base room rate plus applicable taxes. SAMSI
does not reimburse for room service, telephone or other communications, or for
incidentals.
Mileage: If you are claiming mileage as part of travel expenses, please indicate:
P
lace of departure: _________________________ Destination: ________________________ Total mileage: ______________
Special Documentation Requirements
in addition to receipts
U.S. Citizens: Form W-9
U.S. Pe
rmanent Residents: Copy of fron & back of green card (even if back is empty)
t
Form W-9
B
1 or WB
1. Copy of electronic record of I-94. Available o
n-line at
The copy MUST be obtained before departin g the US.
2. Copy of a valid Passport & the arrival stamp
J1
1. Copy of electronic record of I-94. Available o
n-line at
The copy MUST be obtained before departing the US.
2. Copy of a valid Passport & the arrival stamp
3. Copy of the DS2019 form
4. Copy of letter from sponsoring institute’s visa office that your visa is in
good standing while you are attending this workshop
HIB
1. Copy of electronic record of I-94. Available o
n-line at
The copy MUST be obtained before departing the US.
2. Copy of a valid Passport & the arrival stamp
B
2 or WT
1. Copy of electronic record of I-94. Availab
le on-line at
The copy MUST b
e obtained before dep
arting the US.
2. Copy of a valid Pas
sport & arrival stamp
3. Declaration Form
F
1
1. Copy of electronic record of I-94. Available o
n-line at
The copy MUST be ob
tained before departi
ng the US.
2. Copy of a valid Passport & the arrival stamp
3. Copy of the I-20 form
4. Copy of letter from sponsoring institute’s visa office that your visa is in
good standing while you are attending this workshop
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