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Are you being reimbursed by purdue? Yes

What department is reimbursing you? Computer Science

Are you domestic or international? International

What type of address do you have? Domestic address (including Mexico and Canada)

How would you like to receive your reimbursement? Check

What type of visa are you on? Other

Please print and complete all of the forms listed below. Make sure you sign and date all of the forms. Mail all completed forms, original receipts, and copies of documents to:

Department of Computer Science
C/O: Business Office, WTHR 225
Purdue University
560 Oval Drive
West Lafayette, IN 47907-2084


Copies Needed


Purdue University College of Science, 150 N. University St, West Lafayette, IN 47907 • Phone: (765) 494-1729, Fax: (765) 494-1736

Student Advising Office: (765) 494-1771, Fax: (765) 496-3015 • Science IT, (765) 494-4488

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