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Get the free PLACER CalWORKs MILEAGE REIMBURSEMENT FORM

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Placer County Health and Human Services Department Human Services Employment ServicesHere Today...for Your Tomorrow MONTHLY ACTIVITY Reports report is for the month of:Instructions: Complete, sign,
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How to fill out placer calworks mileage reimbursement

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How to fill out placer calworks mileage reimbursement

01
To fill out the Placer CalWORKS Mileage Reimbursement form, follow these steps:
02
Obtain a copy of the form from the CalWORKS office or their website.
03
Fill in your personal information such as your name, address, and contact details.
04
Provide the purpose of the trip and the dates of travel.
05
Calculate the total number of miles traveled and enter it in the appropriate field.
06
Multiply the total miles by the reimbursement rate per mile to calculate the reimbursement amount.
07
Attach any supporting documents such as gas receipts or toll receipts.
08
Sign and date the form.
09
Submit the completed form along with the necessary receipts to the CalWORKS office.
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Keep a copy of the form and receipts for your records.

Who needs placer calworks mileage reimbursement?

01
Placer CalWORKS Mileage Reimbursement is needed by individuals who are enrolled in the CalWORKS program
02
and are eligible for transportation reimbursement for approved activities such as job interviews,
03
work-related travel, or participation in CalWORKS activities.
04
It is specifically designed for low-income families and individuals who require financial assistance
05
to meet their basic needs and achieve self-sufficiency.
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Placer CalWORKs Mileage Reimbursement is a program that provides financial assistance to participants who are required to travel for work-related activities.
Participants in the Placer CalWORKs program who have been approved for the mileage reimbursement benefit are required to file for reimbursement.
To fill out the Placer CalWORKs Mileage Reimbursement form, participants must accurately record their travel details, including dates, destinations, and miles traveled.
The purpose of Placer CalWORKs Mileage Reimbursement is to help participants cover the costs of travel required for work-related activities.
Participants must report details such as dates of travel, destinations, purpose of travel, and miles traveled on the Placer CalWORKs Mileage Reimbursement form.
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