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How to Fill out the Medical Mileage Form in Workers Comp - YouTube YouTube Start of suggested clip End of suggested clip On the bottom of the form locate the total mileage. Add the numbers entered in the round trip milesMoreOn the bottom of the form locate the total mileage. Add the numbers entered in the round trip miles column. As a reminder the mileage rate is 57.5 cents per mile.
On the bottom of the form locate the total mileage. Add the numbers entered in the round trip milesMoreOn the bottom of the form locate the total mileage. Add the numbers entered in the round trip miles column. As a reminder the mileage rate is 57.5 cents per mile.
Indicate your full name and social security number. Specify the name of your duty station, provide the reason for the trip, and add the finance number of the duty station that will be charged. Check the appropriate box to describe the nature of the expense. Record the expenses.
Mileage records The name and address of where you have travelled to with dates. This could be in the form of a diary or spreadsheet listing the details in date order. Pay-slips or a statement confirming any mileage or travel allowance paid to you by your employer.