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- Date
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- Add specific reimbursement items here:
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- Partial Reimbursement?*
- Partial Reimbursement Amount Requested:
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- Does this reimbursement include Food?*
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- Food Purchase Approval Category
- If this reimbursement is above the calculated per diem, do you want this overage included in the reimbursement? Please review UW Meal Per Diem policies.*
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- Does this reimbursement include Alcohol?*
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- PI/Faculty Budget
- Department Budget (If known)
- Additional Worktag(s) if needed:
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- Would you like to split the costing allocation?
- SPLIT Allocation Driver Worktag2
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- Food Purchase Checklist:
- List of Attendees:
- Purchase Checklist:
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- If using a mobile device:
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- Should be Empty: