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Wichita Falls ISD 2025-2026 Odometer-tracked Mileage Form
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Itinerant Mileage Reimbursement Form
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Month & Year:January 2026Type in GREEN cells only.
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Employee:NAME AS SHOWN IN SKYWARDTotal on this form MUST match Skyward Reimbursement Amount.
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Reimbursement request amount:$0.00
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BUDGET CODE:FULL ASSIGNED BUDGET CODEIRS Reimbusement Rate as of 1/1/2026 $ 0.725
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Use two forms, if needed.Total Miles0
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Date of TravelStarting PointOdometerDestinationOdometerMiles Driven
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EMPLOYEE: By my signature, I affirm that all information provided is complete, true, and accurate, and I accept full responsibility for its accuracy:0
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Employee Signature: ___________________________________________________________
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SUPERVISOR: By my signature, I affirm approval of the mileage events outlined herein:
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Supervisor Signature: ___________________________________________________________
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PRINT THIS DOCUMENT (in B/W), OBTAIN SIGNATURES, SCAN AND ATTACH TO SKYWARD REIMBURSEMENT ENTRY
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IMPORTANT INFORMATION:
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1. Odometer Mileage is only to be used when origination or destination are not on the campus to campus mileage form.
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2. All campus to campus mileage must be completed on a separate (second) campus mileage form
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3. Odometer Mileage MUST have Supervisors signature approving trips taken and verifying accuracy of mileage claimed.
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4. If needed, mileage calculations will be verified by Google Maps, addresss to address, regardless of actual route driven,
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5. Changes will be made to excessive mileage claim, and discussed/reported to the driver and their supervisor.
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6. Do not add lines to this form. Use TWO forms if needed.
Form Rev01012026
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