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Post Doc/Trainee Billing Form

Post Doc Billing Form
Post Doc/Trainee Name:
Post Doc/Trainee Name:
First
Last
Grant Manager Name:
Grant Manager Name:
First
Last
Department Contact Name:
Department Contact Name:
First
Last
Mailing Address for Bill:
Mailing Address for Bill:
City
State/Province
Zip/Postal
Country
For department payments, the chartfield listed above will be charged via eJournal. Payment will be charged on approximately the 15th day of the month before the coverage month. In the event the post doc/trainee terminates employment prior to the end of the coverage month, a prorated portion of the payment will be refunded to the department.
Who Will Be Paying:
If you selected "Combination" above, please indicate how the payment will be split.
Reason for Ending