Request for Reimbursement

If yes, please provide the delivery address:
I am a (check one category from the selection below and provide required documentation based on Visa type if applicable):
Visa Type Additional Visa Documentation Needed
For all Visa types, you must state your country of citizenship and provide a copy of your passport (both photo page and US validation page). Required documentation that is not provided will cause a significant delay in reimbursement processing.
B1, WB
B2, WT
F-1
H1-B
J-1
TN
I-94
I-94 & Declaration Form
I-94 & I-20
I-94
I-94 & DS2019
I-94
Additional information regarding I-94 can be found here: http://www.cbp.gov/travel/international-visitors/i-94-instructions
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Upload files

Multiple files, each 10MB or smaller, totalling less than 40MB. Supported file types: gif, jpg, png, pdf, txt, zip.
Have you ever been a Duke Student or Employee:
Date of Employment or Enrollment
Are you still receiving benefits: If yes, please complete the following: