Reimbursement

US Fulbrighters in the Netherlands can use this form to submit reimbursement requests.

Name*
First name Last name
Please select your Program Manager:*
- Linda Pietersen
- Manon Kolsteren
Your Program Manager is your primary contact at the Fulbright Commission.
Address (American Grantees: Please use your Dutch address)*
Street City Province Zip code Country
Email address*
Bank account number (IBAN)*

Your IBAN can be found on your bank card.
Example: NL12 INGB 1234 1234 12
Date of expenditure*
DD slash MM slash YYYY
Expense made for:*
Explain other
Amount (specify Euro or USD)*
Proof of payment
Accepted file types: pdf, Max. file size: 512 MB.
For reimbursement you must submit proof of payment. An OV-Chipkaart overview is preferred (for in-country travel), but a ticket or invoice/flight confirmation is also sufficient.

This file must be a pdf.
Your name and the cost of the ticket/travel expenses must be clearly visible.

If you declare in-country travel expenses, please make sure the location of departure and arrival and whether it was a one way or a return ticket is clearly stated.