​​​​​​Mileage Reimbursement Instructions​​

​​​​Download Mileage Claim

​Fill in completely the information requested. Claim must be signed by claimant and by the person authorized to approve the claim. ​​​​

1. Employee's Information: Print your name, employee I.D. number, phone number, campus location, department and position.

2. Dates Covered By Claim: Insert month and year for which you are claiming mileage reimbursement. 

• Only one month per cla​im form. Do not overlap months. 
  

• ​Mileage claims must be submitted to the District’s Accounts Payable Department no later than the fifteenth day of the following month. 

3. Account Number: Insert the account number to be charged. Claims without account number cannot be processed. 

4.  Date: Insert the date of the trip. 

5. Miles Driven: Insert the actual mileage driven and attach a copy of Google Maps or similar online navigation printout supporting all mileage claims for trips over five (5) miles. 

6. Destination: Insert the name and full street address of your destination. Origin is the place from which you start your trip.

• Reimbursement cannot be paid if the address is not inserted under destination.

• Full street addresses for repeat From or To locations need only be identified for the first instance, per claim form. 

7. Purpose of Trip: State briefly and clearly the nature of each trip. Be specific. 

8. Signature of administrator: The claimant cannot be the approving person.