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INDIANA COUNTYDEPARTMENT OF HUMAN SERVICEMAN OFFICE Please complete one form for patient and each medical provider. Do not use if attending an appointment on only one date of service. Incomplete,
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01
Open the 'multple mileage form-2016doc' document on your computer.
02
Enter the starting mileage of your trip in the designated 'Starting Mileage' field.
03
Enter the ending mileage of your trip in the designated 'Ending Mileage' field.
04
Calculate the total miles traveled by subtracting the starting mileage from the ending mileage.
05
Enter the total miles traveled in the designated 'Total Miles Traveled' field.
06
Fill in any additional required information such as the purpose of the trip or the vehicle used.
07
Save and submit the completed form.

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Any individual or organization who needs to track and report their mileage for tax or reimbursement purposes may use the 'multple mileage form-2016doc'. It is commonly used by employees, self-employed individuals, and businesses that require employees to travel for work.
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The multiple mileage form-doc is a document used by individuals or businesses to report various types of mileage incurred during the year for tax purposes or reimbursement.
Individuals who drive for business purposes, employers who reimburse employees for mileage, and businesses that claim vehicle expenses are typically required to file this form.
To fill out the multiple mileage form-doc, provide your personal information, the purpose of the trips, the total miles driven for each category, and any necessary signatures or additional documentation as required.
The purpose is to accurately track and report mileage related to business for tax deductions, reimbursements, or compliance with internal company policies.
The form must include the date of each trip, the purpose of the trip, starting and ending odometer readings, total miles driven, and any relevant receipts or documentation.
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