Travel Reimbursement Request Form

Each Finalist university team will be reimbursed up to $8,000 to offset the cost of travel expenses incurred to participate in-person at the 2023 FAA Data Challenge Forum. To receive a reimbursement, teams must participate in all required Forum events and submit a Travel Reimbursement Form with proof of actual purchase price for expenses by July 21, 2023.

IMPORTANT: Please carefully read through the Travel Reimbursement Info document before submitting your reimbursement request. Neither NIA nor the FAA is able to reimburse any unallowable expense, or any expense over the $8,000 reimbursement cap. Reimbursement checks will be made to College/University entities listed on the submitted W-9.

College/University: *

Team Faculty Advisor: *

Total Requested Amount for Reimbursement *

Point-of-Contact Info & Mailing Address for Reimbursement Check

(Must be a university address)

Full Name *

Phone Number *

Email Address *

Street Address 1 *

Street Address 2

City *

State *

Zip Code *

Supporting Documents

W-9 Form
Must be for a College/University entity. Reimbursement check will be made out to the entity on the submitted W-9. You may download the Vendor W-9 form here. * 🛈

Itemized Team Invoice
Please include a breakout of costs per participant in a format we can easily review and approve for policy concurrence. Reimbursements cannot to exceed $8,000. * 🛈

Receipts Submission
All receipts should be combined into a single PDF. * 🛈

Additional Receipts Submission
Only for use if initial receipts file exceeds 100MB. 🛈

Contact Information for Person Filling out Form

A confirmation email will be sent to the person listed here.

Full Name *

Email Address *

Phone Number *

I confirm that the submitted expenses are not otherwise covered under any other government contract or agreement. *

I confirm.

Please email FAADataChallenge@nianet.org if you have any problems uploading your documents via this form or questions about allowable expenses and/or receipt requirements.

Allow up to four weeks to receive the reimbursement from date of submission. The university is expected to handle reimbursements to individuals as necessary and appropriate per university policy.

If you are missing required items, please feel free to use the "Save and Return" option below to complete your form.

Save & Return

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