Reimbursement request for external individuals

Your contact information

first name *

last name *

e-mail address *

phone number *

Reason for/explanation of your claim

reference / title *

e.g. name the related conference or workshop

chair/host/inviter at IPZ *

Please enter first und last name of your chair, host or inviter at IPZ.

cost center/project number/PSP-element *

Please ask your host or inviter at IPZ.

Account holder's information

first name *

The individual requesting the reimbursement must also be the account holder.

last name *

Address

street *

number *

postal code *

place *

country *

Bank

bank name *

IBAN

SWIFT/BIC

account number and sort code

In case you do not have a IBAN please enter account number and sort code.

I wish to receive the reimbursement in the following currency *

e.g. EUR, CHF

Reimbursement Request

Itemise all expenses *

If you have multiple expenses, please list them in the following order: receipt date, description (e.g. hotel), currency, amount.

Total amount requested (including currency) *

e.g. EUR 530.00

Receipt upload

Receipts*

(Please upload all your receipts in one pdf-file, listed in chronological order.)

I herewith confirm that I am not employed at the University of Zurich. *

Confirmation

Institut für Politikwissenschaft