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Mileage Reimbursement Form
Name
Travel Information
Payment of the actual and necessary expenses that are incurred in the course of the performing approved services for the district shall be reimbursed in accordance with board policy. Employees are to use the most economical means of travel to and from conferences.
Row entries
(Required)
Date
Place Visited
Purpose of Trip
Miles Traveled
Add
Remove
Press the "+" button at the end of the row to enter new data (20 rows maximum).
Total Reimbursement
Price:
The total value is calculated using the Miles Traveled column sum multiplied by 0.58