2020-2021 SGA Mileage
Rate $ 0.575 per mile
Student Government Association
MILEAGE REIMBURSMENT FORM
Name:
Student 800:
Address:
City: State Zip:
Club Name:
Purpose of Travel:
Date
Destination and/or Return
Odometer In
Odom. Out
Mileage
Claim (Mileage x Rate/Mile)
TOTAL
Date Signature