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Get Fsafeds Mileage Worksheet 2020-2026
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How to fill out the FSAFEDS Mileage Worksheet online
The FSAFEDS Mileage Worksheet is an essential form for participants seeking reimbursement for travel expenses related to medical care. This guide will provide you with clear and concise instructions on how to accurately complete the worksheet online.
Follow the steps to complete your Mileage Worksheet online
- Click ‘Get Form’ button to obtain the form and open it in the designated editing interface.
- Begin by entering the date of each trip in the 'Date' column. Ensure that the date format is consistent.
- In the 'Provider Name & Address' field, input the name and address of the medical, dental, or vision provider you visited.
- Select the 'Type of Service' that corresponds to your visit by indicating 'medical,' 'dental,' 'vision,' or 'prescription' in the appropriate column.
- Record the 'Number of Miles Traveled' for each trip in the specified column. This refers to the distance driven round trip.
- Next, calculate the total cost by multiplying the number of miles by the applicable mileage rate and enter this value in the 'Total Cost' column.
- For any parking expenses incurred, list the total parking cost in the designated 'Parking Cost' field.
- Ensure all totals are computed correctly, and verify that the 'Total Reimbursement Requested' sums all applicable costs.
- Complete the Certification and Authorization section by confirming the accuracy of the provided information and signing the document.
- Save your changes, and choose to download, print, or share the completed Mileage Worksheet as needed.
Take the next step towards your reimbursement by completing your Mileage Worksheet online today.
To claim mileage on FSAFEDS, you need to fill out the appropriate forms and submit your FSAFEDS Mileage Worksheet alongside your claim. Ensure you detail your travel purposes and the mileage incurred. This organized approach will facilitate a smoother reimbursement process.
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