MILEAGE REIMBURSEMENT

MILEAGE REIMBURSEMENT

ag6320HAdopted May 1, 2014

6320H - MILEAGE REIMBURSEMENT

Complete Form 6320H F1 as follows:

** Date

Type date of mileage requesting reimbursement took place.

** From/To

From what destination to what location.

** Mileage

Miles driven.

** Total Mileage

Total all miles driven.

** Total Mileage Reimbursement

Total miles x the IRS limit.

** Employee Signature

Must have signature or will be returned.

** Principal/Supervisor Signature

Must have signature or will be returned.

** Account Number

Principal or supervisor will assign account number.

When completed, submit a copy of the form monthly but not later than the last day of student attendance.