Mileage Reimbursement Expense Report

Mileage Reimbursement Expense Report
IRS standard mileage rate for nonprofits is $0.14 per mile.

To meet the criteria of an accountable plan, so that reimbursements will not be counted as taxable compensation, expenses incurred must be made while performing services for the nonprofit and the expense must be reported adequately within 60 days.

Individuals are to keep a written record of their mileage expenses. The IRS requires these records for audit purposes. Any nonprofit that does not record this information for reimbursements to be fulfilled risks coming into issues during an audit.

Nonprofits must collect and keep accurate expense reports for all reimbursements. Please fully complete the following expense report for mileage expenses incurred within previous 60 days.
Project/Organization*
Full Name*

First NameLast Name
E-mail*
Has your project advisory committee approved this expense?*

Yes
Mileage Expense Report
Date of Travel*

MonthDayYear
Date
Travel Purpose*
Provide detailed information explaining business conducted, location, destination, etc.
Odometer Reading (start)*
Odometer Reading (end)*
Distance Traveled (miles)
Do you have an additional mileage expense to report?

Yes
Date of Travel*

MonthDayYear
Date
Travel Purpose*
Provide detailed information explaining business conducted, location, destination, etc.
Odometer Reading (start)*
Odometer Reading (end)*
Distance Traveled (miles)
Do you have an additional mileage expense to report?

Yes
Date of Travel*

MonthDayYear
Date
Travel Purpose*
Provide detailed information explaining business conducted, location, destination, etc.
Odometer Reading (start)*
Odometer Reading (end)*
Distance Traveled (miles)
Do you have an additional mileage expense to report?

Yes
Date of Travel*

MonthDayYear
Date
Travel Purpose*
Provide detailed information explaining business conducted, location, destination, etc.
Odometer Reading (start)*
Odometer Reading (end)*
Distance Traveled (miles)
Do you have an additional mileage expense to report?

Yes
Date of Travel*

MonthDayYear
Date
Travel Purpose*
Provide detailed information explaining business conducted, location, destination, etc.
Odometer Reading (start)*
Odometer Reading (end)*
Distance Traveled (miles)
Total Mileage
Total Reimbursement (mileage x $0.14)
Make Reimbursement Payable To (person who incurred the expense)*

First NameLast Name
Payment Delivery*

Mail CheckArrange Check Pick UpPayPal
Address to send check

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Date to Pick Up Check

MonthDayYear
Date
PayPal Account Payment Email Address
example@example.com
Additional Comments
Signature*

Clear
Should be Empty:

Mileage Expense Report