Follow the steps to accurately fill out the mileage claim form online.

1. Click ‘Get Form’ button to access the MILEAGE CLAIM FORM - Hawaii and open it in your preferred online editor.
2. Fill in your participant name and the month/year for which you are submitting the mileage claim. Ensure that you enter the correct details as this information is essential for processing.
3. Indicate the unit name you are affiliated with and select the type of transportation used (automobile or moped) by checking the appropriate box.
4. Provide your case manager's name in the designated field to facilitate communication and processing of your claim.
5. Document your parking location and the rate charged for parking for the dates you are claiming. This is essential for reimbursement assessment.
6. Enter the starting address and odometer reading in the from field, followed by the destination address and ending odometer reading in the to field. This information is critical to calculate miles claimed.
7. Certify that the miles claimed accurately reflect your travel for approved First-To-Work activities by providing the necessary signatures from both yourself and your case manager, affirming the accuracy of the information provided.
8. On the second page of the form, report any additional miles claimed and provide pertinent addresses and odometer readings if applicable.
9. Once you have completed all sections of the form, review your entries for accuracy. After confirming that all information is correct, you can save the changes, download the completed form, print a hard copy, or share it as needed.

Complete your mileage claim form online to ensure a smooth reimbursement process.