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Request for Travel Fund
Name of Traveler
Position Title
Email
Departure Date
Return Date
Purpose of Travel (check one)
Presenter/Guest Speaker at (Event Name)
Other
Projected Cost
Event Website
Event Flyer
Traveler is an employee of (check one):
GLAVREF
VA Employee, Non Official Duty – Advance review of Authorized Absence (SF-71) has been submitted to VA. Attach a copy of PTO approval.
Upload form SF-71:
VA Employee, Official Duty – VA Approval: Please attach a fully executed “Memorandum for Request of Approved Absence/Travel and Clinical Coverage” and an “Offer to Donate Support for Official Travel” (form 0893). Incomplete documents will result in disapproval of the request.
Upload form 0893:
Special Note for Federal Grants:
This travel included in your federal budget? If there is not a line in your federal budget, please check first with GLAVREF Research and Education Officer.
Yes
No
GLAVREF Fund#
Name of Principal Investigator
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