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NYC Early Intervention Program Mileage Reimbursement FormInstructions: The NYC Early Intervention (EI) provider agency Transportation Coordinator (TC) must complete the Mileage Reimbursement Form
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How to fill out parental mileage reimbursement authorization
How to fill out parental mileage reimbursement authorization
01
Obtain the parental mileage reimbursement authorization form from the appropriate source.
02
Fill in the name of the parent or guardian requesting the reimbursement.
03
Provide the details of the child for whom the reimbursement is being requested.
04
Record the start and end dates of the travel for which reimbursement is being sought.
05
Include the total mileage traveled and the reason for the trip.
06
Sign and date the form, acknowledging the accuracy of the information provided.
Who needs parental mileage reimbursement authorization?
01
Parents or guardians of children who have incurred travel expenses related to a specific program or activity that is eligible for reimbursement.
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What is parental mileage reimbursement authorization?
Parental mileage reimbursement authorization is a form that allows parents to request reimbursement for mileage driven while transporting their child for approved activities.
Who is required to file parental mileage reimbursement authorization?
Parents or guardians who have driven their child to approved activities and are seeking reimbursement for mileage are required to file parental mileage reimbursement authorization.
How to fill out parental mileage reimbursement authorization?
Parents or guardians can fill out parental mileage reimbursement authorization by providing information such as date of travel, starting and ending locations, purpose of travel, and total mileage driven.
What is the purpose of parental mileage reimbursement authorization?
The purpose of parental mileage reimbursement authorization is to ensure that parents who incur expenses for driving their child to approved activities are reimbursed for their mileage.
What information must be reported on parental mileage reimbursement authorization?
Information such as date of travel, starting and ending locations, purpose of travel, and total mileage driven must be reported on parental mileage reimbursement authorization.
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