EPA GLRI Reimbursement Request

Indicates required field

Refer to our GLRI Reimbursement Program overview page for more information on the program and who is eligible to apply.

How to Apply

Attend/participate
Keep all receipts and documentation of attendance
Complete the reimbursement form within 30 days of your event

Reimbursing an individual: Name and address provided must match IRS records. Please include your full name and complete address. You will be mailed a check in 3-4 weeks.

Reimbursing an organization: Organization name, organization address, and organization tax ID number provided must match IRS records. Please upload W-9 and an invoice for the amount requested along with receipts.

Name of requester

Email of requester

Address (Street, City, State, ZIP)

Phone number

Reimbursement for

Myself

My organization

If organization, provide tax ID

Make check payable to

Financial contact name and email

A contact person (such as business manager) who will be able to register in the U-M supplier portal.

Start date

End date

List expenses including date, description of expense, and amount

Upload any relevant documentation - receipt(s), invoice, W-9 etc.

Unlimited number of files can be uploaded to this field.
100 MB limit.
Allowed types: gif jpg jpeg png bmp eps tif pict psd txt rtf html odf pdf doc docx ppt pptx xls xlsx xml avi mov mp3 mp4 ogg wav bz2 dmg gz jar rar sit svg tar zip.