Submit reimbursement claim

Reimbursement form for event participation grants

Optional fields are marked accordingly.
Your details
Event details
Summary of costs in Euros (€)
Funding is granted on a pro-rata basis and only towards actual and approved costs. For travel and accommodation, you must always choose the cheapest option available. For journeys by car, a mileage rate of 30 cents per kilometre applies. Please complete the travel cost fields that apply to you. Payment will be made once your claim has been checked against your receipts uploaded below.
Train travel
Bus travel
Car travel
If you shared a car, only the driver may claim travel costs.
Driver / passenger(optional)
Air travel
For environmental reasons, flights are only reimbursed for destinations outside Europe.
Total costs
Receipts
Please upload copies of all original receipts, invoices or bank statements below. If you have more than five files, please send the remaining files by email to foerdergesellschaft@mh-freiburg.de.
Bank account details
Data protection consent