Get Operator Reimbursement Form - North Dakota Department Of Health - Ndhealth

Filling out the Operator Reimbursement Form can be a straightforward process when you know what to do. This guide provides step-by-step instructions to ensure you complete the form accurately and effectively online.

Follow the steps to fill out the Operator Reimbursement Form with ease.

1. Use the ‘Get Form’ button to access the Operator Reimbursement Form and open it in the designated online editor.
2. Begin by entering the required information in the ‘System Name’ and ‘Operator Name’ fields to identify the relevant operator and system.
3. Fill in the ‘System Address’ and ‘Operator Address’ fields, including city, state, and zip code, to complete your contact information.
4. Indicate the ‘Event Attended’ and fill in the relevant ‘Date(s) of Event,’ along with the ‘Date of Departure’ and ‘Time of Departure’ for record-keeping.
5. Record the ‘Date of Return’ and ‘Time of Return’ to account for your total travel duration pertaining to the event.
6. Input the ‘Vehicle Miles’ driven for the event, and calculate the total mileage reimbursement by multiplying the miles by $0.575.
7. Enter your ‘Meal Allowance,’ following the state rates specified for different meal times without requiring receipts.
8. For ‘Lodging,’ enter the amount spent (a receipt is required), adhering to the specified rate limit.
9. Document any ‘Registration Fee,’ ‘Exam Fee,’ and ‘Miscellaneous Expenses’ (all require receipts) associated with attending the event.
10. Add up your total expenses and input the amount in the ‘Total Expenses’ field for finalization.
11. Sign and date the form to complete it, confirming all information provided is accurate before submission.

Get started on completing your Operator Reimbursement Form online today!