Get Form 11664 D

Filling out the Form 11664 D online is an essential step for individuals seeking cash reimbursement for their public transportation expenses. This guide will provide you with a clear and structured approach to successfully complete this form, ensuring you understand each component along the way.

Follow the steps to fill out Form 11664 D correctly.

1. Click the ‘Get Form’ button to access the form and open it in your preferred online editor.
2. Begin by entering your last name, first name, and middle initial in the designated fields. This information is essential to identify your application.
3. Fill out the state and ZIP code fields accurately, followed by your home address, including the street address and city.
4. Provide your SEID number, if applicable. This identifier helps in processing your request.
5. Enter your work phone number for any necessary follow-ups.
6. If you are using a transit service, specify the transit company name.
7. Indicate whether you are currently receiving fare media by selecting 'Yes' or 'No' in the provided options.
8. Next, state if your fare media is time-sensitive by again selecting 'Yes' or 'No'.
9. Check the appropriate Business Unit symbol from the given list that corresponds to your situation.
10. In the Reason(s) for reimbursement section, select the applicable reason that justifies your request.
11. Indicate the month(s) or quarter(s) for which you are requesting reimbursement by checking the relevant options.
12. Provide your signature and the date to certify the accuracy of your information.
13. Enter the total reimbursement amount and complete the manager's details, including their name, phone number, and email address.
14. Finally, review the completed form for accuracy, then save any changes, download it for your records, and either print or share it as necessary.

Start completing your Form 11664 D online now to ensure timely reimbursement for your transportation expenses.