A mileage expense form is an official document that is filled to account for company vehicle use. All the fields are either filled by the employee on business or a supervisor then approved by a manager or a departmental head. Note that the odometer readings are taken from the vehicle not derived from the intended distances. Here is a sample mileage expense form.
Gas Mileage Form
Employee name: __________________________ Position: ____________________
Department: _____________________________ Supervisor: __________________
Mileage Description: ________________________________________________________
Date: __________ Travel From: ________________ to: ________________________
Odometer Start: _____________ Odometer End: _______________
Total Miles: _________________ Rate per mile: ________________
Total claims: ______________
Mileage Description: ________________________________________________________
Date: __________ Travel From: ________________ to: ________________________
Odometer Start: _____________ Odometer End: _______________
Total Miles: _________________ Rate per mile: ________________
Total claims: ______________
Mileage Description: ________________________________________________________
Date: __________ Travel From: ________________ to: ________________________
Odometer Start: _____________ Odometer End: _______________
Total Miles: _________________ Rate per mile: ________________
Total claims: ______________
Grand Total: _______________
Approved: __________________ Signature: _____________ Date:
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