LA LogistiCare Mileage Reimbursement Trip Log 2015-2025 free printable template
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LOUISIANA MILEAGE REIMBURSEMENT TRIP LOG Must be sent to:DRIVER NAME:RELATIONSHIP TO MEMBER:DRIVER MAILING ADDRESS:DRIVER PHONE #:Logistical Claims Department 2552 West Erie Drive, Suite 101 Tempe,
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How to fill out LA LogistiCare Mileage Reimbursement Trip Log
How to fill out LA LogistiCare Mileage Reimbursement Trip Log
01
Gather all necessary information such as the date of travel, starting location, destination, and purpose of the trip.
02
Enter the date of each trip in the designated column.
03
Fill in the starting location and destination for each trip, ensuring accuracy.
04
Record the total number of miles driven for each leg of the trip.
05
Include any additional information required, such as exceptional circumstances or additional costs if necessary.
06
Sign the log to certify the accuracy of the information provided.
07
Submit the completed mileage reimbursement trip log to the appropriate authority or department for processing.
Who needs LA LogistiCare Mileage Reimbursement Trip Log?
01
Individuals using LA LogistiCare services for non-emergency medical transportation who wish to claim reimbursement for mileage driven.
02
Patients requiring financial assistance for transportation to medical appointments.
03
Caregivers or family members transporting patients and seeking reimbursement for their travel expenses.
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People Also Ask about
What is the mileage rate for 2023 in Louisiana?
Effective January 1, 2023, the mileage reimbursement has been determined by the Louisiana Department of Administration to be $0.655.
What is PPM49?
The Office of State Travel is responsible for setting Louisiana's general travel regulations, known as Policy and Procedure Memorandum 49 (PPM49).
What is the mileage reimbursement?
Mileage reimbursement is the reimbursement you receive for using a personal vehicle for business purposes. The reimbursement covers all costs of owning and driving your vehicle for the qualified miles. The IRS mileage reimbursement covers the use of specific vehicles, namely: cars, vans, pickups, and panel trucks.
What is the mileage reimbursement for Louisiana in 2023?
Effective January 1, 2023, the mileage reimbursement has been determined by the Louisiana Department of Administration to be $0.655.
What is the per diem rate for meals in Louisiana?
Louisiana 2022 CONUS Per Diem Rates CountyMajor CitiesMeals & Incidentals RateOrleans ParishNosc New Orleans, Nas Jrb New Orleans, New Orleans (4 total)$74.00Ouachita ParishMonroe Naval Reserve Ctr, Bosco, Sterlington (11 total)$59.00Plaquemines ParishConcession, Nairn, Cedar Grove (29 total)$59.0061 more rows
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What is LA LogistiCare Mileage Reimbursement Trip Log?
The LA LogistiCare Mileage Reimbursement Trip Log is a document used by individuals to track and report the mileage driven for medical transportation purposes that qualifies for reimbursement.
Who is required to file LA LogistiCare Mileage Reimbursement Trip Log?
Individuals who provide their own transportation for medical appointments and seek reimbursement for mileage incurred during these trips are required to file the LA LogistiCare Mileage Reimbursement Trip Log.
How to fill out LA LogistiCare Mileage Reimbursement Trip Log?
To fill out the LA LogistiCare Mileage Reimbursement Trip Log, individuals must provide the date of each trip, the mileage traveled (round trip), the starting and ending locations, and any relevant appointment details.
What is the purpose of LA LogistiCare Mileage Reimbursement Trip Log?
The purpose of the LA LogistiCare Mileage Reimbursement Trip Log is to allow individuals to record their transportation expenses in order to receive reimbursement for mileage incurred while attending medical appointments.
What information must be reported on LA LogistiCare Mileage Reimbursement Trip Log?
The information that must be reported on the LA LogistiCare Mileage Reimbursement Trip Log includes the date of the trip, starting and ending locations, round trip mileage, purpose of the trip, and any other pertinent details related to the medical appointment.
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