| West Clermont Local School District |
| Administrative Guidelines |
6320H - MILEAGE REIMBURSEMENT
Complete Form 6320H F1 as follows:
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** Date |
Type date of mileage requesting reimbursement took place. |
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** From/To |
From what destination to what location. |
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** Mileage |
Miles driven. |
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** Total Mileage |
Total all miles driven. |
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** Total Mileage Reimbursement |
Total miles x IRS rate as it exists as of each April 1st per mile. |
|
** Employee Signature |
Must have signature or will be returned. |
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** Principal/Supervisor Signature |
Must have signature or will be returned. |
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** Account Number |
Principal or supervisor will assign account number. |
When completed, submit one (1) copy of the form to his/her supervisor prior to the end of the fiscal year.