MILEAGE CLAIM

MILEAGE CLAIM

ATTENTION: Effective 1/1/25 mileage reimbursement will be calculated at a rate of 70 cents per mile. Even if some miles submitted on this form were driven prior to 1/1/25, submit on this form anyway.
Name*

First NameLast Name
Job Title & Building*
ODOMETER READINGS ARE NOT ALLOWED TO BE USED WHEN DISTANCES CAN BE DETERMINED BY FIXED MILEAGE OR MAPS.

Since all distances can now be determined by online maps and/or fixed mileage charts, both tools are available for your use below. Simply click on the tool you wish to use to expand it.

Input information below for all travelled trips/miles you wish to claim*