Expense refund

Invoices, receipts etc. must be attached. Cash payments will not be made. For payment of salaries, stipends and grants, travel- and subsistence claims, and all advances, other forms should be used.

Last name
	First name(s)
	Employee no. or Norwegian ID no.
(date of birth for foreigner without Norw. ID no.)

Employee at UiO in an active position?				Yes	
Personal information (only for first payment or subsequent changes)	
Home address (only for first payment or  subsequent changes)

	Post code, city and state
	
Norwegian bank account 
	For payments to bank accounts abroad, a special bank details form (pdf) must be used. 	

Department / section at UiO: 
		
The amount covers:

	

Account (Artskonto)	Place (Sted)	Project 	Cost type (Tiltak)	Amount	

					

Countersignature (Attestasjon)	Date
	Countersignature	
	Telephone / e-mail
	
Authorization (Anvisning)	Date
	Budget disposition authority (Budsjettdisponeringsmyndighet)