Get Travel Reimbursement Request Formmulti Day - Ready Ride Service

The Travel Reimbursement Request Formmulti Day - Ready Ride Service is designed to help users claim reimbursement for trips to medical appointments. This guide will provide clear, step-by-step instructions to assist users in completing the form accurately and efficiently.

Follow the steps to complete your reimbursement request form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin filling out your personal information in the designated fields. This includes your name, home address, mailing address, phone number, and AllCare ID#. It is important to provide accurate contact details to ensure proper communication.
3. Specify the city and zip code for both home and mailing addresses to facilitate any necessary correspondence.
4. Indicate any phone numbers you may use to schedule appointments. This information may be reviewed in case of discrepancies.
5. Provide details about the trips you are requesting reimbursement for. This includes the admission and discharge dates, as well as the name of the doctor or facility you visited.
6. Fill in the mileage if applicable. Note that AllCare reimburses $0.25 per mile for trips that span more than one day. Ensure you record all round-trip miles to receive the correct reimbursement amount.
7. Count the meals you are claiming. AllCare reimburses $4 per person per meal. Specify the number of meals for both yourself and any attendant.
8. Input your lodging information. List the total nights you stayed and the corresponding dates. Remember that AllCare covers lodging costs up to $89 per night.
9. Use the comments section to explain any unusual mileage or meal requests. Providing context can help in the approval process.
10. Review all entered information for accuracy. Once verified, provide your signature, printed name, and date at the bottom of the form. This confirms the truthfulness of the information provided.
11. After completing the form, you can save changes, download, print, or share the form as needed. Ensure to send it to ReadyRide via regular mail at the specified address.

Start filling out your Travel Reimbursement Request Form online today to ensure you receive your reimbursements promptly.