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DE Mileage Reimbursement Trip Log Must be sent to: Medicare Claims Department 798 Park Avenue, NW Norton, VA 24273 DRIVER NAME: ___ RELATIONSHIP TO DRIVER:___ DRIVER MAILING ADDRESS: ___DRIVER PHONE

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How to fill out mileage reimbursement trip log

01

Start by writing the date of the trip at the top of the log.

02

Record the starting point of your trip (usually your home or office) and the destination.

03

Note the purpose of the trip (e.g. client meeting, office supplies pickup).

04

Record the starting and ending mileage of your vehicle for the trip.

05

Calculate the total mileage driven by subtracting the starting mileage from the ending mileage.

06

If there were any additional stops during the trip, make sure to document the purpose and mileage for each stop.

07

Finally, make sure to sign and date the log after completing all entries.

Who needs mileage reimbursement trip log?

01

Employees who use their personal vehicles for work-related purposes

02

Independent contractors who need to track mileage for tax deductions or reimbursement

03

Anyone who needs to submit mileage expenses for reimbursement from their employer

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What is mileage reimbursement trip log?

The mileage reimbursement trip log is a record of all business-related trips taken by an individual for which they are seeking reimbursement for mileage.

Who is required to file mileage reimbursement trip log?

Employees or individuals who use their personal vehicle for business purposes and are seeking reimbursement for mileage are required to file a mileage reimbursement trip log.

How to fill out mileage reimbursement trip log?

To fill out a mileage reimbursement trip log, one must record details of each business-related trip including date, starting location, destination, purpose of trip, and total mileage driven.

What is the purpose of mileage reimbursement trip log?

The purpose of the mileage reimbursement trip log is to track and document all business-related trips taken using a personal vehicle in order to accurately calculate and reimburse the individual for the mileage incurred.

What information must be reported on mileage reimbursement trip log?

The information that must be reported on a mileage reimbursement trip log includes date of trip, starting location, destination, purpose of trip, and total mileage driven.

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