Mileage Reimbursement Spreadsheet - Free Download
4.3, 2742 votes
Please vote for this template if it helps you.
Mileage Log & Expense Reimbursement Form
Remember to attach receipts!
Name Rate Per Mile
ID For Period
Vehicle Description Total Mileage 0
Authorized By Total Reimbursement $0.00
Date Starting Location Destination Description/Notes
Total Mileage x Rate per Mile: 0 $0.00
Total Amount of Reimbursement Request: $0.00
Signature of Requester:
Received & Approved by (please print):
Authorized for payment (signature):
NOTE: The IRS periodically changes the
reimbursement rate per mile.