Participant Expense Form

Return by: December 17, 2014

PARTICIPANT EXPENSE FORM

NAME: ______

ADDRESS: ______

SOCIAL SECURITY #:

SESSION TITLE: ______

Please see second page for explanation of expense items.

Planes/Trains/Automobiles (see second page for stipulations) / $ ______
Hotel(see second page for stipulations) / $ ______
Per Diem(see second page for stipulations)
You may submit up to $50 per day. / $ ______
Ground Transportation(see second page for stipulations)
You may submit up to $80 total. / $ ______
It is necessary to include receipts for those items you wish to be reimbursed. If a receipt is not received you will not be reimbursed for the amount requested.
TOTAL REIMBURSEMENT DUE / $ ______

Your Signature: Date:

It is necessary to include receipts for those items you wish to be reimbursed.

Requests for reimbursement must be received by December 17, 2014.

Planes/Trains/Automobiles

Authorized transportation to the Annual Scientific Meeting is by plane, train and automobile. All travel is to be by the most economical mode of transportation consistent with reasonable convenience. Participants are encouraged to use the official ASC travel agency, UNIGLOBE Red Carpet Travel, to make travel arrangements.

A)Coach air travel must be arranged at least three to four weeks prior to the travel date (in order to assure discounted fares). Sometimes, a Saturday night stay over is encouraged for discounted airfares. If a participant wishes to not have Saturday night stay over, the participant will only be reimbursed up to $600 for airfare. Should another travel agency be used and a higher airfare be requested for reimbursement, the ASC has the right to reimburse the participant at the airfare quoted by the official ASC travel agency.

B)Air and rail travel is to be coach or economy class.

C)When a participant drives his or her own car, the allowance is at the current federal reimbursement rate of $0.56 per mile. The reimbursed cost for mileage cannot exceed what would have been the cost for coach or economy airfare for that trip.

Hotel

The awarded number of nights (referring to the policy on the ASC’s Meeting/Speaker page) of hotel/tax will be charged to the ASC Master Account. If you make a reservation at another hotel, you will be reimbursed for only the amount equal to the rate at the Hilton Bonnet Creek.

Per Diem

This allowance is for your meals and tips. Expenses not permitted are in-room movies and phone calls. You may submit up to $50 per day. Receipts must be submitted to receive reimbursement.

Ground Transportation

Ground transportation, such as taxicab and shuttle services, to and from the airport and airport parking, may be submitted for up to $80 total. Receipts must be submitted to receive reimbursement.

Please contact Jodi Smith, Events and Educational Development Manager, at the ASC National Office if you have any questions regarding reimbursement.

Send Expense Form and Receipts to:

American Society of Cytopathology 100 West 10th Street, Suite 605 Wilmington, DE 19801

Phone (302) 543-6583 Fax (302) 543-6597