Mileage Reimbursement Statement

Employee Name:

Position: Community Sales Ambassador
Company: Detail Cleaning Services

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Mileage Reimbursement Details

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Total

Instructions for Reimbursement Submission:

  1. Fill in all required details: Ensure all columns are accurately completed, including the date, event/client name, starting location, destination, and total roundtrip mileage.
  2. Calculate Reimbursement: Use the current IRS reimbursement rate of $0.655 per mile to calculate the total reimbursement amount for each trip.
  3. Submit on Time: Submit the completed reimbursement statement bi-weekly. Late submissions may not be eligible for reimbursement.
  4. Attach Supporting Documents: Include any relevant receipts or documents that verify the mileage claimed for each trip.

Supervisor Approval: Ensure the statement is reviewed and signed by your direct supervisor before submission.

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Please submit this completed form to the accounting department by the end of each two-week period. Reimbursement checks will generally be provided the week following your submission. Thank you for your attention to detail and prompt submission.