Please complete this online form as fully as possible to file your expenses claim. You are required to provide receipts for any item over USD 25. You will be asked to upload your receipts during this process.

If you have issues uploading your receipts, you can email receipts to james@pharmacoepi.org. If you email receipts, it is important to include your name in the file name of your receipt, for example, "SMITH, John hotel receipt.pdf", or we will be unable to match the receipt to your reimbursement.

If you have questions about your claim or this process, please contact us at info@pharmacoepi.org.

You will be given the opportunity to review your submission. Please save a copy for your records.