Get Path Nd Monthly Foster Parent Mileage Reimbursement Form ... - Pathnd

The PATH ND Monthly Foster Parent Mileage Reimbursement Form is essential for foster parents to receive compensation for mileage incurred while transporting foster children. This guide provides clear, step-by-step instructions to ensure you can accurately complete the form and submit it in a timely manner.

Follow the steps to complete the mileage reimbursement form

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Indicate the activity month by filling in the month and year for which you are claiming mileage. Remember, only one form should be submitted per home for each month.
3. Provide the date of the trip by entering the specific date when the mileage was incurred.
4. List the names of all foster children placed in your home during the activity month. This ensures accurate tracking of mileage for each child.
5. In the total mileage section, enter the number of miles you traveled related to each foster child. This is your total mileage for the month.
6. Describe the reason for the mileage incurred. Specify the purpose of the trip (such as home visit or treatment plan) and the destination.
7. Total your mileage by subtracting 25 miles from the total recorded above and multiplying the result by the reimbursement rate of 45 cents per mile.
8. If applicable, reference any related treatment plan goals for exceptional expenses by including the specific goal in the designated area.
9. Sign and date the form to affirm that the information provided is accurate. Your social worker must also initial and date the form.
10. Once all sections are completed and verified, save the changes. You may then download, print, or share the completed form as necessary.

Submit your completed PATH ND Monthly Foster Parent Mileage Reimbursement Form online to ensure timely processing of your reimbursement.