Get Thefederalfsaprogram Mileage Worksheet

Filling out the TheFederalFSAProgram Mileage Worksheet online is a crucial step for users looking to claim reimbursement for mileage related to medical expenses. This guide will provide you with a step-by-step approach to completing the worksheet accurately and efficiently.

Follow the steps to complete your mileage worksheet online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering your personal information at the top of the form. This typically includes your full name, contact information, and any relevant identification numbers.
3. For each trip, record the date of service in the appropriate column. Ensure that you list the dates for each appointment.
4. In the 'Provider Name & Address' section, enter the name and address of your medical care provider for each visit. It is essential to ensure this information is accurate.
5. Next, specify the type of service provided, such as medical, dental, vision, or prescription. This helps clarify the nature of the expense.
6. In the 'Number of Miles Traveled' section, document the total miles driven for each trip. Use a reliable source, such as an online map tool, for accurate mileage calculations.
7. Once you have entered all required information for each trip, calculate the total mileage rate by multiplying the number of miles by the current mileage reimbursement rate.
8. Finally, sum the total reimbursement amounts for each trip and enter this figure in the 'Total Requested Reimbursement' section.
9. After filling out the entire form, review all entries for accuracy and completeness. Make any necessary corrections before proceeding.
10. Once you are satisfied with the information entered, save your changes to the document. You can download, print, or share the completed form as needed.

Start completing your documents online today for a smoother reimbursement process.