Follow the steps to complete your mileage reimbursement report accurately.

1. Press the ‘Get Form’ button to access the mileage reimbursement report and open it in your preferred online editor.
2. Begin by filling in the client’s name in the designated field. Ensure that it matches the individual for whom you're claiming reimbursement.
3. Next, enter the county associated with the client in the appropriate section.
4. If applicable, fill in the representative's name. This field may be left blank if there is no representative.
5. Provide a contact phone number where the claimant can be reached.
6. In the section for the claimant's name, include the name of the individual requesting the reimbursement.
7. Identify the month for which you are claiming mileage and enter it in the specified field.
8. For each trip, list the date, origin, destination, miles traveled, and the reason for the mileage in the appropriate columns.
9. Once all trips have been listed, calculate the total miles and enter that amount in the 'Total Miles' field.
10. Next, apply the mileage reimbursement rate to calculate the total reimbursement and insert that figure in the 'Total' field.
11. The employee or claimant must sign in the designated box to confirm the accuracy of the information provided.
12. If applicable, the client or their representative should also sign the report.
13. After thoroughly reviewing the completed form for accuracy, it can be saved, downloaded, printed, or shared as needed.

Complete your MN MRCI Mileage Reimbursement Report online today for a streamlined reimbursement process.