LRJ Mileage & Per Diem Reimbursement Form

Mileage Reimbursement
When using your own vehicle for business purposes, you must maintain insurance coverage as required by law and have a current valid driver's license. Travel between your home or primary place of employment to a scheduled practice is not considered to be business travel. You may only use your personal vehicle for business travel when traveling to scheduled weekend tournaments. You will be reimbursed for vehicle use at the standard IRS mileage rate for charitable organizations which is currently .14 per mile.

You must attach a mileage map with the starting address and ending address of the hotel/tournament facility you travel to (i.e. google maps, MapQuest)
Home Address (starting point for mileage calculation)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Mileage Calculation

Rows	Date (M/D/Y)	Round Trip Mileage t	Destination City, St	List All Passengers (Enter N/A if none)
1
2
3
4
5
6

Total Miles Traveled
Rate Per Mile ($)
Attach a PDF or JPG file of mileage map(s) (i.e. google map, MapQuest) for each destination you are requesting reimbursement.

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Per Diem Reimbursement

A per diem for meals and incidentals will be paid based on the current rates established by the U.S. General Services Administration. The amount will differ depending on the travel destination city. Per diems are applicable only for overnight stays outside the home city.

Reimbursement rates for 2025/2026:

LRJ Mileage and Per Diem Reimbursement Form