2007 Midwest Workshop on Complex Analysis and Geometry
April 13-15, 2007
University of Illinois at Chicago
Reimbursement Checklist
Name: ____________________________________
Address: ___________________________________
____________________________________
____________________________________
SSN: ____________________________________
Tickets
- [ ] If you are receiving reimbursements for airline, we will need the original receipt.
Foreign Participants
Foreign participants (not US citizens or permanent residents) receiving reimbursements, please attach copies of the following:
- [ ] Visa (students – F-1 document)
- [ ] I – 94 card (front and back)
- [ ] Passport I D page
- [ ] Passport VISA page
- [ ] SSN card
- [ ] J-1 visas holders only-letter from Home Department allowing us to reimburse participant
- [ ] F-1 visas holders, send name of department business manager – reimbursements must be handled through Home Department
Please return at the Seminar or before April, 28, 2007 via mail to:
Nancy Fields Triplett Attention: SCV2007 Reimbursement
Department of Mathematics (M/C 249)
University of Illinois at Chicago
851 South Morgan
Chicago, IL 60607-7045
The 2007 Midwest Workshop on Complex Analysis and Geometry is partially funded by the National Science Foundation, the University of Illinois at Chicago Department of Mathematics, Statistics, and Computer Science, the UIC College of Liberal Arts and Sciences, the UIC Vice Chancellor for Research, and the Lewis Mathematics Seminar Fund.