Concur Mileage Rate Change
Date
/
Month
/
Day
Year
Date
Country
*
Car Configuration
*
Personal
Company
Effective Date
*
-
Month
-
Day
Year
Date
New Flat Rate
*
For Miles or Kilometers Driven
Rate Less Than 20000
*
Either Miles or Kilometres
Rate Over Than 20000
*
Either Miles or Kilometres
Notification Email
*
example@example.com
Comments
Complete
Should be Empty: