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<?xml version="1.0" encoding="utf-8" ?>
<title>Reimbursement Claim / Credit Card statement</title>
<style type="text/css">
th {
text-align: center;
tr.descr {
font-size: small;
tr.example {
font-style: italic;
tr.descr td {
padding: 1px 4px !important;
table input.form-control,
table textarea.form-control {
font-size: 12px;
table td {
padding: 1px !important;
.form-control {
padding: 3px 6px !important;
input[type="file"] {
width: 180px;
<script src="/scripts/addrow.js"></script>
<body class="full-width">
<h1>Reimbursement Claim / Credit Card statement</h1>
In this form, you can enter your reimbursable expenses (monthly)
as well as your credit card expenses (twi-monthly), upload
receipts, and eventually submit it to our financial team.
Please fill out all fields as requested, and take care of
selecting the correct type (Reimbursement Claim or Credit Card).
<form action="/cgi-bin/reimbursement.php" method="post" enctype="multipart/form-data">
<h2>1. Set general options</h2>
<div class="form-group form-inline">
<label class="col-sm-3">Employee:</label>
<select class="form-control col-sm-9" name="who" size="1" required="required">
<option />
<option value="Alexander Sander|alex.sander">Alexander Sander</option>
<option value="Ana Galan|anaghz">Ana Galán</option>
<option value="Bonnie Mehring|bonnie">Bonnie Mehring</option>
<option value="Erik Albers|eal">Erik Albers</option>
<option value="Evelyn Kwarteng|evelyn.kwarteng">Evelyn Kwarteng</option>
<option value="Fani Partsafyllidou|fani">Fani Partsafyllidou</option>
<option value="Florian Snow|floriansnow">Florian Snow</option>
<option value="Francesca Indorato|fi">Francesca Indorato</option>
<option value="Gabriel Ku Wei Bin|gabriel.ku">Gabriel Ku Wei Bin</option>
<option value="Heiki Lõhmus|repentinus">Heiki Lõhmus</option>
<option value="Jackie Chen|jackie">Jackie Chen</option>
<option value="Lina Ceballos|lina.ceballos">Lina Ceballos</option>
<option value="Linda Wagener|linda">Linda Wagener</option>
<option value="Linus Sehn|linus">Linus Sehn</option>
<option value="Lucas Lasota|lucas.lasota">Lucas Lasota</option>
<option value="Max Mehl|max.mehl">Max Mehl</option>
<option value="Max Schlüter|maxsc">Max Schlüter</option>
<option value="Matthias Kirschner|mk">Matthias Kirschner</option>
<option value="Reinhard Müller|reinhard">Reinhard Müller</option>
<option value="Sergio Montandon|sergio">Sérgio Montandon</option>
<option value="Tobias Diekershoff|tobiasd">Tobias Diekershoff</option>
<div class="clearfix"></div>
<div class="form-group">
<label class="col-sm-3">Type:</label>
<div class="radio form-inline col-sm-9">
<input type="radio" name="type" value="rc" required="required" />
Reimbursement Claim for month
<select class="form-control" name="rc_month">
<option />
<option value="01">January</option>
<option value="02">February</option>
<option value="03">March</option>
<option value="04">April</option>
<option value="05">May</option>
<option value="06">June</option>
<option value="07">July</option>
<option value="08">August</option>
<option value="09">September</option>
<option value="10">October</option>
<option value="11">November</option>
<option value="12">December</option>
<select class="form-control" name="rc_year">
<option value="2022">2022</option>
<option value="2023">2023</option>
<div class="clearfix"></div>
<div class="radio form-inline col-sm-offset-3 col-sm-9">
<input type="radio" name="type" value="cc" required="required" />
Credit Card for quarter
<select class="form-control" name="cc_month">
<option />
<option value="Q1">Q1</option>
<option value="Q2">Q2</option>
<option value="Q3">Q3</option>
<option value="Q4">Q4</option>
<select class="form-control" name="cc_year">
<option value="2022">2022</option>
<option value="2023">2023</option>
<h2>2. Enter your expenses</h2>
<table class="table table-striped">
<th>ER number</th>
<th>Receipt Scan</th>
<tr class="descr">
<td>"Belegdatum" for credit card statements</td>
<td>In EUR (<a href="https://ec.europa.eu/budget/graphs/inforeuro.html">Convert</a>). Format: 123,00</td>
<td>Valid ER number</td>
<td>Catch phrase for the ER</td>
<td>What specifically was paid for. <strong>-</strong> if equal to catchphrase</td>
<td>Upload receipt as PDF, max. 2MB each</td>
<td>Add a new row, or delete one</td>
<tr class="descr example">
<td>Example 1: 16.04.2021</td>
<td>Berlin Bus Company</td>
<td>Cool Conference</td>
<td>Bus ticket from Berlin to New York</td>
<td>e.g. busticket.pdf</td>
<tr class="descr example">
<td>Example 2: 17.04.2021</td>
<td>New laptop for Jane Doe</td>
<td>USB adapter for external keyboard</td>
<td>e.g. acme-adapter.pdf</td>
<td><input type="date" name="entry[]" class="form-control" required="required" /></td>
<td><input type="text" name="amount[]" class="form-control" pattern="-?\d{0,5},\d{2}" placeholder="12,34" required="required" /></td>
<td><input type="text" name="recipient[]" class="form-control" required="required" /></td>
<td><input type="text" name="er[]" class="form-control" pattern="^er\.[\d]{4}-[\d]{2}-[\d]{2}\.[\d.-]+" placeholder="er.2020-..." required="required" /></td>
<td><input type="text" name="catch[]" class="form-control" required="required" /></td>
<td><input type="text" name="remarks[]" class="form-control" required="required" /></td>
<td><input type="file" name="receipt[]" class="form-control" required="required" /></td>
<td><input type="button" class="AddNewRow btn btn-primary" value="+ 1 row" /></td>
<h2>3. Notes for the financial team</h2>
<p>If necessary, you can add additional remarks and notes to the statement you send.</p>
<div class="form-group">
<textarea name="extra" class="form-control" rows="3"></textarea>
<h2>4. Submit RC/CC statement</h2>
<p>If you would like to preview the results, either via email or
only in the web interface, choose differing options below. To not
lose your data, press the "back" button in your browser to come
back to this page afterwards.</p>
<div class="form-group">
<label class="radio-inline">
<input type="radio" name="mailopt" value="normal" required="required" checked="checked" /> Send emails to finance team and me
<label class="radio-inline">
<input type="radio" name="mailopt" value="onlyme" required="required" /> Send email only to me
<label class="radio-inline">
<input type="radio" name="mailopt" value="none" required="required" /> Do not send any email at all
<button type="submit" class="btn btn-primary">Submit RC/CC report</button>