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FLEXIBLE SPENDING ACCOUNT (FSA) MEDICAL MILES REIMBURSEMENT HEALTH PLAN YEAR: 1/1/2014 to 12/31/2014FMH Contact EMPLOYEE\'S NAME: EMPLOYEE\'S SSN:FAX TO:8009909058 ext 2086COREFLEX FMH 918665148287Email
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How to fill out flex mileage reimbursment form

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How to fill out flex mileage reimbursment form

01
To fill out the flex mileage reimbursement form, follow these steps:
02
Start by entering your personal information, including your name, employee ID, and contact information.
03
Fill in the purpose of your travel, such as a business meeting or client visit.
04
Provide the starting and ending locations of your trip, as well as the date and time of departure and return.
05
Specify the number of miles traveled for each leg of the trip. Make sure to calculate the total mileage accurately.
06
Indicate the reimbursement rate per mile as per your organization's policy.
07
Calculate the total mileage reimbursement by multiplying the total miles traveled by the reimbursement rate.
08
Attach any supporting documents, such as fuel receipts or toll invoices, if required.
09
Review the form to ensure all the information is accurate and complete.
10
Sign and date the form before submitting it to the designated person or department for approval.
11
Keep a copy of the filled form for your records.

Who needs flex mileage reimbursment form?

01
Anyone who uses their personal vehicle for business purposes and needs to be reimbursed for the mileage can use the flex mileage reimbursement form.
02
This form is typically used by employees or contractors who travel for work-related activities, such as meetings, site visits, or client interactions.
03
It allows them to claim reimbursement for the miles driven using their personal vehicle, based on the organization's predetermined reimbursement rate.
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The flex mileage reimbursement form is a document used by employees to claim reimbursement for using their personal vehicles for work-related travel.
Employees who use their personal vehicles for work-related purposes and wish to be reimbursed for mileage are required to file the flex mileage reimbursement form.
To fill out the flex mileage reimbursement form, provide your personal information, details of the trip, including dates, purpose, and mileage driven, and attach any necessary documentation, such as receipts.
The purpose of the flex mileage reimbursement form is to enable employees to receive compensation for the costs associated with using their personal vehicles for business travel.
Information such as employee name, employee ID, dates of travel, purpose of the trip, starting and ending odometer readings, total mileage, and any expenses incurred must be reported on the flex mileage reimbursement form.
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