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I’m looking for information on …
Website Support
Chancery
Human Resources
Benefits Summary
Safety & Security
Finance
Communications
Clergy Support
Missions
Worship
Faith Formation
Tribunal, Marriage, & Annulments
Building and Maintenance
Synod Portal
Policy Index
Resources
The Bridge
Flocknote
Graphic Design Tools
Tech Discounts
Chancery Services
COVID-19
Contact us!
MILEAGE REIMBURSEMENT
& RELATED EXPENSES WORKSHEET
Name:
Department:
Account #:
Mileage Reimbursement & Related Expenses Worksheet
DATE
POINT OF ORIGIN
DESTINATION
PURPOSE
MILEAGE
TOLL
PARKING
Add
Remove
Total Mileage
Adjustment For Normal Commute Mileage (I.E., To And From Office)
Net Miles, In Excess Of Normal Commute
Mileage Reimbursement Due Employee
Dept Head / Supervisor Approval
Date
MM slash DD slash YYYY
* Attach receipts showing the nature and amount of the expense.
Note: Skip #4 And #5 For All Mileage Submissions Which Begin And/Or End At Your Work Location.