MILEAGE REIMBURSEMENT FORM Mileage Reimbursement Form MILEAGE REIMBURSEMENT FORM Employees that receive an auto allowance will not be reimbursed for mileage. Also, the IRS considers the daily commute between your home and your main or regular place of work to be a personal expense, and therefore, not eligible for tax deductions or mileage reimbursement. Likewise, USA Industries does not reimburse employees for their regular commute. When calculating mileage for reimbursement, you must exclude the mileage you would have otherwise incurred as your normal commute if you did not go to the office first. EMPLOYEE INFORMATION Name * Name First First Last Last Email * Department: * Select from below:Outside SalesInside SalesMarketingEngineeringOperationsFinanceITExecutive Management Supervisor/Manager: * Select from below:Sales and Marketing:Dan OverlyUli QuirogaMike Fuchsman---------------------------------Executive:Justin WattsRich Forrest---------------------------------Operations:April GrigsonArmando GarzaTrina RoseBert AndersonCasey SueJerry AlonzoKimberly DadsonMichel LapstrapesNicki GarzaTony Trapolino TRIP DETAILS Date * Purpose of Trip: * Select from below:Customer Sales MeetingLunch and Learn PresentationEvent CoverageCustomer Sales SupportEvent Logistics Starting Location: * Odometer Start * Ending Location * Odometer End * Total Miles Mileage Reimbursement Amount: ($.65 per mile) Enter Company Credit Card Charge(s) Mileage Backup (receipts, etc.) Drop a file here or click to upload Choose File Maximum file size: 134.22MB Expected Reimbursement plus4 Add minus4 Remove CERTIFICATION I certify that the above information is accurate and that the miles claimed were incurred while conducting company business in accordance with company policies. Signature * signature keyboard Clear Today's Date * Submit Δ