Mileage Request Reimbursement

Mileage Request Reimbursement

Mileage Request Reimbursement - If the director of your division deems it necessary for business reasons and the division’s operating budget can support it, you may submit for reimbursement for your normal commuting distance when a personal vehicle is used for university business. A memo from the division’s director must be on file in the Provost Administrative Affairs Finance Office noting the approval for this exception for the entire division, the business justification for this exception and acknowledgement that the division’s budget can support this additional cost. This memo must be renewed annually by the director.

Requester First Name*

Requester Last Name*

Requester E-Mail*

Requester Phone Number

Phone

Penn ID*

Department*

Select

Date of Personal Vehicle for Business Use*

Business Purpose of Using Personal Vehicle*

Address of Business Location Traveled To*

Normal Commuting Mileage (Roundtrip)*

Normal commuting mileage is defined as the distance between your residence and your UPENN primary office, no matter the mode of transportation you take to get to work (i.e. car, train, foot, etc.)

Total Business Trip Mileage (Roundtrip)*

Concur Expense Report Name (If Applicable) *

If a concur expense report will not be submitted as total trip mileage is less than or eqaul to Normal Commuting Distance, write "NA." Otherwise, please include the name of the submitted Concur report related to this mileage request.

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