Travel & Meeting Reimbursements

Utilize this page to request reimbursement for any pre-approved travel or meeting costs covered by SWOG/The Hope Foundation.

Approved travelers are notified by SWOG/Foundation staff directly. Only those who have been expressly informed of coverage are eligible to submit for reimbursement.
Reimbursement requests must be received within 30 days of travel or when expense is incurred.
Complete all applicable form fields.
Itemized receipts must be attached.
If this is your first reimbursement request, please also complete the payment authorization linked below and email to your travel contact.

Submit Professional Development Feedback

See additional restrictions and guidelines in the form fields below.

Note that the system will generate an email to confirm receipt of your submission. Please look for this confirmation to know that your request has been received.

Hope Reimbursement Form

Traveler/Payee Name
Traveler/Payee Email*
Name of person submitting this form, if different from traveler/payee
Email of person submitting this form, if different from traveler/payee
Phone
Address for remittance of payment
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Program
Please select the program through which your funding is being provided.
Committee/Project Name
Conference/Event/Purpose
Hotel arrival date (if applicable)
Month
Day
Year
Hotel departure date (if applicable)
Month
Day
Year
Hotel room charge & tax
Meals
Per diem not offered. Receipts must be itemized. Meal costs must be reasonable. Reasonability is considered in the context of geographic location and may be based upon current US General Service Administration guidelines. Alcohol cannot be reimbursed.
Airfare
Coach class only, purchased at least two (2) weeks in advance of travel. Receipts must be itemized.
Mileage
Cannot exceed the cost of equivalent airfare. Multiply # of miles driven x $0.575. Please include map or start and end locations with attached receipts.
Ground transportation
Reasonable ground transportation includes: Taxis, Lyft, Uber, ride share or public trains/buses - luxury modes such as limousines are not permitted.
Parking
Registration Fees
Membership Fees
Other
Explain "Other"
Total*
This field auto-populates. You must complete one of the fields above for a total to appear here.
We request feedback on professional development experiences to help assess the value of our programs. Please provide a few sentences describing how your attendance at this conference was helpful to your role as a patient advocate. Please be specific.
It is our goal that actively engaged members will share their knowledge and help to advance SWOG's mission to improve cancer care. How might you pass this learning on to your fellow advocates and/or respective SWOG committee(s)?
I confirm that all receipts submitted for reimbursement are clearly itemized. I understand that any receipts which are not clearly itemized may not be reimbursed.*
- Yes, I confirm
Itemized Receipts
Drop files here or

Accepted file types: pdf, Max. file size: 50 MB.
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Utilize this page to request reimbursement for any pre-approved travel or meeting costs covered by SWOG/The Hope Foundation.

Hope Reimbursement Form

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