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CENTER Travel Reimbursement Request Form

The UCLA Department of Nursing Research and Education is happy to support the efforts of our nurses who have been invited to present podium or poster presentations during nursing conferences. If you are submitting for a pre-approved CENTER Supported travel reimbursement request, kindly complete the following information in full. Should you have any questions, contact Kissy Vasquez.


In accordance with Travel Policy G-28I am requesting reimbursement for the following items:

1. Traveler's Name *This question is required.
Please choose one:
This question requires a valid email address.
2. Proxy's Name *This question is required.
This question requires a valid email address.