UNIVERSITY OF ALASKA
CAR MILEAGE REIMBURSEMENT FORM
Revised 12/14/16
From To Start Finish
Date:
# of miles Total Reimbursement
Travel is reimbursed at the rate of 54.5 cents per mile.
Supervisor or Department Head
Traveler's Signature:
Approved by:
= $
Destination
Odometer Reading
Trip Description or Explanation
Total
Miles
UA ID:
TA#:
Date
54.5 cents
Historical Mileage rates:
54 cents January 1, 2016 - December 31, 2016
53.5 cents January 1, 2017 - December 31, 2017
0
0.00