Travel Reimbursement

(Post)pandemic preparedness and digital innovations

CHARITE

MEETS

BENELUX

17. SYMPOSIUM ON EMERGENCY MEDICINE AND ACUTE CARDIOLOGY Department of Emergency and Acute Medicine, Charité – Universitätsmedizin Berlin in Cooperation with Vivantes Netzwerk für Gesundheit GmbH

OCTOBER 08-09, 2026 | BERLIN, GERMANY

I will prepare a statement of costs:

GRAND CONCEPT GmbH | Schiffbauerdamm 40/1207 | 10117 Berlin | VAT ID number DE320400721

How do you submit your expenses?

I will issue my own invoice, including tax and invoice number, and upload it as a PDF file.
I would like to use this form and will only upload my receipts if necessary.

Personal Information

First Name

Last Name

Email Address

Street

Zip code, City

Country

Account Holder

IBAN for refunds

Your costs

TOTAL TRAVEL EXPENSES Flight or train costs, public transport, car hire, taxi – all expenses can only be reimbursed upon presentation of receipts!

Travel Expenses

TOTAL TRAVEL BY CAR Costs for mileage allowance when travelling by car – EUR 0.30 per kilometre, only direct journeys to and from the place of residence or work apply.

Costs for flat-rate mileage allowance

Name EUR) your

TOTAL ACCOMMODATION COSTS Costs for hotel accommodation in a single room including breakfast – all costs can only be reimbursed upon presentation of receipts; additional costs, except for parking at the hotel, must be paid independently.

Accommodation Costs

TOTAL REIMBURSEMENT

Gross payment amount (in EUR)

Upload receipts & signature

Signature

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