Get the free 470-5480 Mileage Reimbursement Trip Log and Claim Form
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Iowa Medicaid Mileage Reimbursement Trip Log and Claim Form Must be sent to: Access2Care 405 SW 5th Street, Suite C Des Moines, IA 503094609 Phone: 18445219948 Fax: 18776457837Member name:Medicaid
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How to fill out 470-5480 mileage reimbursement trip
How to fill out 470-5480 mileage reimbursement trip
01
Record the starting point of your trip and the destination address.
02
Note the date and time of your trip.
03
Keep track of the total miles driven for the trip.
04
Calculate the total reimbursement amount based on the mileage rate provided.
05
Submit the completed form with all necessary documentation to the appropriate department for review and approval.
Who needs 470-5480 mileage reimbursement trip?
01
Employees who use their personal vehicles for work-related travel and are eligible for mileage reimbursement.
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What is 470-5480 mileage reimbursement trip?
The 470-5480 mileage reimbursement trip is a form used to request reimbursement for mileage expenses incurred during official business trips.
Who is required to file 470-5480 mileage reimbursement trip?
Employees who have traveled for official business purposes and are seeking reimbursement for mileage expenses are required to file the 470-5480 form.
How to fill out 470-5480 mileage reimbursement trip?
To fill out the 470-5480 mileage reimbursement trip, you need to provide details such as the date of travel, starting and ending locations, purpose of the trip, total miles traveled, and any other relevant information.
What is the purpose of 470-5480 mileage reimbursement trip?
The purpose of the 470-5480 mileage reimbursement trip is to ensure that employees are properly reimbursed for mileage expenses incurred during official business travel.
What information must be reported on 470-5480 mileage reimbursement trip?
Information such as the date of travel, starting and ending locations, purpose of the trip, total miles traveled, and any other relevant details must be reported on the 470-5480 mileage reimbursement trip.
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