Current mileage reimbursement rate is $0.540 per mile.
Mailing Address: *
ZIP Code; *
Total Miles 1
Other Expense 1
Total Reimbursable Expenses 1
Volunteer Time (Hours) 1
Signed By: *
By checking this box, I agree that by typing my name is my digital signature.
By checking this box, I declare under penalty of law that this claim is just and correct and that no part of it has been paid or otherwise reimbursed according to IRS regulations. *
201 N. Broad St.
2020 Draft Proposal for Cost Sharing
2020 Program Development and Coordination Activities under Title III-B
Minnesota Help Network
Veterans Transportation & Community Living Initiative