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MILEAGE REIMBURSEMENT FORM FOR WORKERS' COMPENSATION PUBLIC EMPLOYEE CLAIMS DIVISION ARKANSAS INSURANCE DEPARTMENT 1200 West Third Street, Suite 201 Little Rock, Arkansas 72201 (501) 371-2700 Facsimile:
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What is mileage reimbursement form?
Mileage reimbursement form is a document used to request reimbursement for the expenses incurred while using a personal vehicle for business purposes.
Who is required to file mileage reimbursement form?
Any employee or individual who uses their personal vehicle for business purposes and wants to be reimbursed for the mileage driven is required to file a mileage reimbursement form.
How to fill out mileage reimbursement form?
To fill out a mileage reimbursement form, you need to provide your name, date of travel, starting and ending locations, purpose of the trip, total miles driven, and any additional details required by your employer or organization.
What is the purpose of mileage reimbursement form?
The purpose of a mileage reimbursement form is to track and document the mileage driven for business purposes by individuals using their personal vehicles and to request reimbursement for the related expenses.
What information must be reported on mileage reimbursement form?
The information that must be reported on a mileage reimbursement form includes the date of travel, starting and ending locations, total miles driven, purpose of the trip, and any additional details required by the employer or organization.
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