Fuel Reimbursement Form

fuel reimbursement form

Employee Name

Request Details

How to Calculate Reimbursement.

1. Figure out the Average Cost Per Mile by taking the grand total of your investment into fuel this month and dividing that by the grand total of miles you traveled this month. This gives you the average cost per miles or APM.

2. Take the APM and multiply it by the total of miles you drove for work that is above and beyond your average commute. This will give you the total amount you should request for reimbursement.

APM

Miles Traveled for Work

Total Requested for Reimbursement

I have submitted reciepts to the Google Drive."Reimbursments"

This includes a Oil Change Reimbursemet Request

Thank you for your submission!