New Researcher Travel Reimbursement Request Form Welcome, New Researchers. Please complete The PME New Researcher Program Travel Stipend Form to be reimbursed for travel expenses of up to $500. The reimbursement will be issued after verification of research-related travel, submission of this form completed in-full and submission of proof of travel expenses (such as transportation ticket receipts or gas receipts). This form is DUE 2 WEEKS after last travel expense was made. Applicant First Name:*Applicant Last Name:*Reimbursement Check Made Payable to: *Check will be sent to this address* First Name Last Name Mailing Address* Street Address City State / Province / Region ZIP / Postal Code Email* Conference Attended*Conference Dates*City of Conference*Receipt Uploads* Drop files here or