Mileage Reimbursement Instructions & Form

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1	Mileage Reimbursement Instructions & Form 1. Before travel: Request a PO from your Supervisor. Travel without a PO may not be reimbursed. 2. After travel, submit your Mileage Reimbursement Form and Certificate of Completion to your supervisor within 60 days to avoid tax. 3. Only completed forms will be accepted (form completly filled out, signed and a PO attached)
2	MILEAGE REIMBURSEMENT FORM
3	Name:
4	Address:
5	DATE	FROM	TO	PURPOSE-What you did		MILES
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20	TOTAL MILES					0
21	REIMBURSEMENT DUE = TOTAL MILES X $0.67 (as of 1/1/2024)					0
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23	Employee Signature:				Date:
24	To the best of my knowledge all statements on this mileage reimbursement request are true and factual and are in compliance with SD procedure.
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27	Approved By:				Date:
28	Code(s):
29	All miles should be calculated using Google Maps, from your home or your school, whichever is less.
30	When traveling between the listed locations, please use this mileage. It reflects the most direct route via Google Maps.
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