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Traveler's Name:
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Reporting Period1:
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DateFromToRound Trip (Y/N)2Total MilesBusiness Purpose3
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Total miles traveled:0
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Total amount to be reimbursed:$0.00Calculated at the .70 cents per mile rate effective 1/1/25
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I certify that the above is a true statement of the travel expenses incurred by me in the service of the University of California during the date(s) shown on the face of this claim, that all items were for the official business of the University of California, and that the vehicle used was covered by the minimum liability insurance required by university travel regulations.
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Signature:Date:
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Typed Name
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1 Recommend that mileage logs be submitted on a monthly (preferred) or quarterly basis. (Consider fiscal year deadlines. )
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2 If this entry represents a round-trip entry, put the total miles of the round trip (there and back) under "total miles."
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3 Indicate the specific official business purpose served for each instance. For example, “business meeting” does not meet the requirement unless you include a brief description of the topics discussed.
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4 For current mileage rates, go to http://blink.ucsd.edu/travel/expenses-reimbursements/reporting/mileage-reimbursement/rates.html
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