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Get CA I&A mileage Form 2009

Form Forma de gastos por distancia recorrida por visitas medica If you have to travel to get treatment for your work injury, you are entitled to re-payment of your travel costs. The mileage rate is 55 cents ($.55) per mile. Mileage for reasonable travel to the pharmacy, parking, bridge tolls, public transportation and other travel-related costs are also included. Complete this form. Attach receipts. Send the original to the insurance company and keep a copy. Do not send the original or a copy to.

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