Travel Reimbursement

There is an example of this form at http://www.ias.tu-darmstadt.de/Travel/ReimbursementJanPeters
If this form contains errors or could be easier to understand, that is no problem: you can change it yourself. Only do not touch the form variables.
You need provide receipts for everything. If you have booked something online, we need both a print out of the receipt and a copy of your bank statement. Please provide all materials together to Veronika.
For rental cars and taxis, you will always need a really good reason and there is a 30% probability of them not accepting your reason for rental cars (unless it is in the USA).
All travel reimbursements have to be completed within six months where the last day of the journey serves as the begin of these six months.
As an alternative to this form, you can download the German Word forms as well as additional information at the administration website https://www.intern.tu-darmstadt.de/dez_iii/iii_b/reisekosten/reisekosten_2.de.jsp which is easier for word users.

About you
First Name:
Last Name:
IAS Darmstadt Non-Member
Tel.-Nr:
Email:
Birthday:
Office Location:
Private Address:
About your bank
Name of Bank:
Address of Bank:
Routing No (Bankleitzahl):
Account No. (Konto-Nr.):
General information about your trip
Purpose of the trip:
Travel was	ordered unapproved approved by
A pre-installment of	has been received (by me).
Details on the first leg of your trip (Hinweg): Trip to the venue (e.g., conference site)
My trip started at City, Country:
My trip started on Date:
My trip started at Time:
My trip started from:	If other, explain:
Transportation Modes:
... and I arrived at City, Country:
... and I arrived on Date:
... and I arrived at Time:
For outer European flights:	Time of Take-Off and Landing
Start of conference, workshop or event? Opening Banquet? (Begin des ersten Dienstgeschaeftes)
Date of start of event:
Time of start of event:
End of conference, workshop or event? Closing Banquet? (Ende des letzten Dienstgeschaeftes)
Date of end of last event:
Time of end of last event:
Details on the first leg of your trip (Rueckweg): Trip back from the venue
My return started at City, Country:
My return started on Date:
My return started at Time:
Transportation Modes:
My return ended at City, Country:
My return ended on Date:
My return ended at Time:
For outer European flights:	Time of Take-Off and Landing
If applicable, explain the difference between the end of the last event and the trip home (e.g., Urlaub = Vacations):

I apply for a daily allowance
Did you receive free food or were invited by anybody? Did the conference or hotel cover any meals (e.g., conference banquet, breakfast at the hotel, etc)? No
Was the breakfast included in the price? No Yes, on
Was the lunch included in the price? No Yes, on
Was the lunch included in the price? No Yes, on
The following days were vacation/private, I don't apply for a daily allowance for them:
I apply for reimbursement of lodging such as hotel costs
I want to reimburse the actual cost of Euros. The originals of the receipts are attached.
I lost original bills! Shoot! Please ask Veronika for the current Uebernachtungspauschale and fill it in.
I used the room alone Yes No, I stayed with a non-IAS member. No, I stayed with an IAS member. My roommates were .
If the costs of the room exceeded 60 Euros per Night, we always need to give a reason. I have added a few, for alternatives edit the open office file later:
If there are the phone calls on the hotel bill, are they IAS-related and/or private? Provide details about the calls: (e.g., I called Jan to tell him about my awesome talk and that Rich Sutton is now my biggest fan ... in formal German: Ich habe Herrn Prof. Dr. Peters ueber Neuigkeiten unterrichten muessen).
The following nights were private , e.g., due to vacations.
I apply for reimbursement of transportation costs
I used my private car:
I was ordered to use a car: by (e.g., evil overlord).
There was no particular reason for using a car:
I had a good reason to use a car, that is: , e.g., time pressure (Termindruck), trip otherwise impossible (Anfahrt nur per Auto moeglich).
The following places were visited by car:
I drove with my private car alltogether: km
I had passengers during the distance of km.
The name of the passengers were:
For my train travel, I used a Bahncard None 25 50 100
For my travels, I used public transportation (not cars or flights). I want to get Euros reimbursed.
I paid some of the public transportation cost myself
IAS already paid some of the public transportation cost for me
Another person, i.e., , paid some of the trains for me.
For my train travel, I took planes. I want to get Euros reimbursed.
I paid some of the flights myself
IAS already paid some of the flights for me
Another person, i.e., , paid some of the flights for me.
I had further expenses
Name of expense 1:
Cost of expense 1:
Reason for expense 1:
Name of expense 2:
Cost of expense 2:
Reason for expense 2:
Name of expense 3:
Cost of expense 3:
Reason for expense 3:
Name of expense 4:
Cost of expense 4:
Reason for expense 4:
Name of expense 5:
Cost of expense 5:
Reason for expense 5:
Name of expense 6:
Cost of expense 6:
Reason for expense 6: