III Travel Stipend Request Form

Effective March 9, 2023, the Board has authorized an increase of 15% for all categories of reimbursement. The revised amounts are listed below (inclusive of the 15% increase). This is an interim increase while the EC and Board review the Travel Reimbursement Policy more closely, regarding both amount and eligibility. The below eligibility criteria, monetary limits, and procedure will be in effect up to and including the Amsterdam conference. Please enquire with Shari regarding any travel after June 2023 as further revisions may be introduced following the review.

Eligibility

1) Only full-time sitting judges or full-time academics are eligible.

2) The person must be a contributor to the conference or event (panelist, board member, committee chair, discussion leader, additional discussant, additional contributor).

Reimbursement Maximums (all amounts in USD) are as follows:

Distance Traveled	Judges	Academics
On-Continent	$1,275	$900
Off-Continent within 10 hours of travel	$3,000	$2,000
Off-Continent over 10 hours of travel	$4,600	$3,000

Process

If your expenses will not be fully covered by your Institution and you would like to request travel reimbursement for expenses incurred please complete the form below. Your request for reimbursement will be reviewed and if eligible under the above guidelines will be approved and paid by the III Administrative Director.

To ensure a proper audit trail and accountability, this policy has changed to be a reimbursement process, not a stipend process (as was the case previously), so judges and academics seeking reimbursement will need to provide receipts to III after the event up to the reimbursement maximum. If receiving the reimbursement after the event will present a hardship, the individual may submit receipts before the conference to receive part or all the reimbursement.

Name*

First NameLast Name

Email*

example@example.com

Please indicate below what event/conference the travel reimbursement is being requested for and the dates of the event.*

Amount Requested (in USD)*

Please select one option*

I will provide my receipts after the event and understand my reimbursement will be processed at that timeI would like to request my stipend before the event and my receipts are attached

Please indicate below your role at the aforementioned event/conference.*

Board Member or Committee ChairPanelist or SpeakerIII Official UNCITRAL DelegateList Other Role in the Comment Box below

I am a:*

Full Time Sitting JudgeFull Time Academic

My travel time is:*

On-ContinentOff-Continent within 10 hours of travelOff-Continent over 10 hours of travel

Name on Check (if different from submitter)

Address to mail U.S. Check to

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

OR Provide your banking information below.

ABA Number / Account Number

SWIFT Code (or routing number if U.S. bank account)

IBAN Number

Name and Address of Bank Account Holder

Comments and Other Details

If there are other details that needed to be explained (i.e. other expenses), please provide them here

Attach Receipts Here

You can submit the digital image of your receipts and upload it here

I hereby declare and certify that I have incurred the abovementioned expenses during my travel during the period I have stated in this form and have attached the relevant receipts to this form and affirm that these expenses incurred will not be reimbursed by any third party. I understand that any claim I manifest in this form shall hold me liable under the law if later found out to be false or untrue. I affirm that all the information I submit through this form is true and correct to the best of my knowledge.

Signature of Participant

Date Signed

Date

International Insolvency Institute Travel Reimbursement Policy for Judges and Academics