IAD Reimbursement Form

All fields are required unless marked (optional)

1. Filled in by Erstellt von

First name Vorname Last name Name

Programme Abteilung

Phone number Tel. Nummer

Date Datum

2. Payee Zahlungsempfänger/in

The person who receives the money, usually you.

First name Vorname Last name Nachname Street and number Strasse und Hausnummer Postcode and town Postleitzahl und Ort Country Land

3. Bank account Kreditinstitut

I'm attaching a payment slip (Einzahlungsschein / QR-bill) instead of bank details

Bank name Name der Bank Bank postcode and town Postleitzahl und Ort Bank country Land SWIFT / BIC (optional) IBAN The number is checked for typos before the form is generated.

4. Reason for payment Zahlungsgrund

Which course or occasion is this reimbursement for? Include the semester, e.g. "BA Semester 4".

5. Expenses Belege

In which currency do you want to be reimbursed? Auszahlungs-Währung

CHF EUR

Choose a currency to continue with your expenses.

IAD Reimbursement form

Please check the highlighted fields

1. Filled in by Erstellt von

2. Payee Zahlungsempfänger/in

3. Bank account Kreditinstitut

4. Reason for payment Zahlungsgrund

5. Expenses Belege

Your documents are ready

Check your form and receipts

Download both files and send them to finance