IUPAC General Assembly 2003: CLAIM FORM	
For reimbursements before or at the General Assembly,
claim form must reach IUPAC Secretariat by: 
1 July 2003	PLEASE TYPE OR WRITE IN CAPITAL LETTERS AND RETURN TO:	
Name:		
Address:		

		
			IUPAC Secretariat
P.O. Box 13757
Research Triangle Park, NC 27709
USA
Fax: +919-485-8706
E-mail: secretariat@iupac.org	
E-mail Address:				

Meeting attended:		
Dates:		Place:	Ottawa, Canada	
	
TRANSPORTATION EXPENSES (Please state in national currency)	
From:		To:	Ottawa, Canada	TOTAL:		
	
SUBSISTENCE 	
	days at	USD 116	per day			TOTAL USD:		
	
Please note that all USA residents will automatically receive a USD check	
PAYMENT INSTRUCTIONS	Transportation	Subsistence	
Bank Transfer to your personal account number				
SWIFT Code			
Account name		
Bank Name		
Bank Address		
Sort Code or Bankleitzahl (if applicable)		
	
OR	Check in national currency. Please confirm with the Secretariat
that checks in your national currency are available.			
OR	Check in Canadian Dollars, in advance or at Ottawa 			
	
Date:		Approved by Treasurer	
Signature:			

Instructions for filling out the IUPAC Claim Form for the Ottawa General Assembly
1.	Please be sure to provide your complete mailing address and e-mail address so that we can contact you if necessary. Please do not assume we have your correct contact information in our records.
2.	This form is for the use of Titular Members of Division and Standing Committees and others specifically authorized by the appropriate IUPAC officer.
3.	The meeting attended is the specific meeting, such as Division Committee III or Committee on Chemistry Education. If you are attending more than one meeting, please list all the meetings you will be attending at the General Assembly.
4.	Transportation expenses include economy airfare, train fare, and airport or train connections. These should be given in your national currency.
5.	The number of days of subsistence is calculated by adding one to the number of nights of hotel accommodation for the period you will be at the General Assembly. If you plan to stay for the Congress, please do not count those nights.
6.	Payment for Transportation and Subsistence can be made separately, if necessary, but are in general made using the same method. Payment can be made by bank transfer or by check. Payment by check is available in a limited number of major currencies. Please ask the Secretariat if payment by check is available for your currency before returning the form.
7.	Please indicate on the form if you require payment by a specific date in order to pay for tickets or hotel deposits.