Mileage Reimbursement
Mileage Reimbursement Request
Submit your mileage for work-related travel. Questions? AP@HCCTS.ORG
IRS Rate: $0.760/mile (IRS standard rate). Submit within 30 days of travel.
Requestor Information
Trip Details
Total Miles
0.0 mi
Reimbursement @ $0.76/mi
$0.00
Mileage is based on the normally recommended Google Maps driving route between authorized locations. Necessary business-related adjustments require an explanation and are subject to AP review.
Reason / Notes
Signatures Required
The requestor's typed staff signature is rendered as an electronic signature on the printed/PDF form. Supervisor, Director, and CAO/COO/ED approval lines remain available for approval signatures.
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