ABPD Travel Reimbursement Form

2023 Oral Clinical Examination Travel Reimbursement Form

Please submit by Monday, October 2.

Click here to review the ABPD Travel Policy.

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* 1. First Name

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* 2. Last Name

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* 3. Email address associated with your bill.com account

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* 4. Airfare Total (6806.2)

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* 5. Please upload your airfare receipt

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

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* 6. Travel - 6806

Please provide any Taxi/Ubers/Mileage/Tolls/Parking here combined into one total amount.

Please note, transportation charges to and from the Raleigh-Durham International Airport will not be reimbursed during times when ABPD had scheduled bus service unless specifically approved by ABPD.

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* 7. Please upload receipt for any submitted travel reimbursement

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

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* 8. Please upload receipt for any submitted travel reimbursement

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

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* 9. Please upload receipt for any submitted travel reimbursement

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

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* 10. Please upload receipt for any submitted travel reimbursement

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.