Claim of Reimbursement

You would like to be reimbursed for costs incurred in the course of your project?

Please fill out this form. Mandatory fields are marked with *. Help on what to enter stands right beside the input fields.

Please also read the instructions at the end of the page.

1. Enter your master data

Project/Purpose of travel

State the name of the project or event supported by Wikimedia Deutschland, in the context of which the costs were incurred. Please calculate the costs for each funding individually!

Full legal name

We need your contact details for any queries.

Your phone number

Your email address

Your contact person at Wikimedia

Your contact person at Wikimedia, for example the person you spoke to in the Communities and Engagement team.

2. Choose your payment method

Please enter your complete data relevant for the reimbursement of costs. The payout details help us to carry out the refund correctly. If the money is refunded to an account that does not belong to you, please give a reason; this is essential for our accounting.

Bank transfer (SEPA) Bank transfer (Non-EU)

Account Holder

IBAN

BIC (if foreign bank)

Other comments e.g. intermediary bank, reason for different account login person

Account login person

BIC/SWIFT

Account number

Routing number

Name of the bank

Address of the bank (street and house number/postcode/country)

Your address (street and house number/postcode/country)

Other comments e.g. intermediary bank, reason for different account login person

3. Enter your expenses

Currency

State the currency the reimbursement is to be made in. The chosen currency applies to the whole claim. We kindly ask you to use Euro preferably.

Add one entry for each expense and upload one or more receipts. If an expense was made in a foreign currency, attach an additional receipt for the conversion. It is needed for each entry. These proofs of conversion are accepted: card billing (credit or debit card), cash exchange receipt, currency converter of the European Central Bank. If the currency is not in the currency converter of the European Central Bank and no other proof is available, use Oanda.

4. Advance payment and calculation

I have already received an advance in the amount of:

If Wikimedia Deutschland granted an advance payment for this project or event, please state the amount here.

Expected amount to be reimbursed:

Herewith I confirm the completeness and correctness of my data:

You can download the data of your claim as a PDF file at any time with the button “Download reimbursement claim and submit later”. The button “Send reimbursement claim electronically directly to WMDE” forwards the claim straight to Wikimedia Deutschland - in that case too you can download your claim as a PDF file once more.

The settlement of per diem is done by a receipt, which you can generate with this form. Please add it as an expense receipt in an entry of its own.

Please keep the receipts of the single entries until the reimbursement has reached you.

If there are any errors or questions, feel free to contact the Communities and Engagement Team through community@wikimedia.de or your contact person for this reimbursement.