SC Gas Mileage Reimbursement Trip Log 2011-2025 free printable template

SOUTH CAROLINA GAS MILEAGE REIMBURSEMENT TRIP LOG Must be sent to DRIVER NAME DRIVER MAILING ADDRESS CITY/STATE/ZIP MEMBER NAME If different from Driver Trip Date Trip/Job LogistiCare Claims Department 503 Oak Place Suite 550 College Park GA 30349 RELATIONSHIP TO MEMBER DRIVER PHONE MEMBER ID Medical Provider Name Phone Physician/Clinician Signature Total Miles Name Phone Each date of service must have a physician or clinician signature in order for reimbursement to be approved. NOTE Each...

How to fill out sc logisticare mileage reimbursement form

How to fill out SC Gas Mileage Reimbursement Trip Log

1. Download or obtain the SC Gas Mileage Reimbursement Trip Log form.
2. Fill in your name and contact information at the top of the form.
3. Enter the date of each trip in the designated column.
4. Record the starting and ending locations for each trip.
5. Calculate the total miles driven for each trip and input that in the corresponding column.
6. Note the purpose of each trip in the provided section.
7. Add up the total miles for all trips and write it in the summary section.
8. Sign and date the form to certify the information is accurate.
9. Submit the completed form along with any required receipts or documentation.

Who needs SC Gas Mileage Reimbursement Trip Log?

1. Employees who use personal vehicles for work-related travel.
2. Contractors or consultants who are reimbursed for travel expenses.
3. Anyone eligible for mileage reimbursement according to company policy.

People Also Ask about sc logisticare gas reimbursement

How much does modivcare pay per mile in Virginia?

Reimbursed at a rate of $0.50 per traveled mile, personal satisfaction of helping others, FREE Emergency Kit, Modivcare driver training, etc. What are the requirements to be a Volunteer Driver? The requirements are: At least 18 years of age.

What type of company is Modivcare?

Modivcare is a healthcare services leader. Our company was created to address the social determinants of health (SDoH) by providing non-emergency medical transportation (NEMT), personal care, nutritious meals, and remote patient monitoring.

How much does modivcare pay per mile in nj?

The rate is $0.54 per mile. The distance will be the number of miles from your home to your medical appointment. The miles will be given to you during your reservation phone call.

What is the mileage reimbursement for West Virginia?

Effective January 1, 2022, the state mileage reimbursement rate increased to 58.5 cents per mile. Therefore, the mileage reimbursement rate for claimants is 58.5 cents per mile as of January 1, 2022.

How much does modivcare pay per mile in sc 2022?

Your health care provider must sign the form as proof that you were at your appointment. You will not receive payment for your trip unless your form is complete. The rate is $0.54 per mile.

For pdfFiller’s FAQs

How can I manage my sc logisticare trip log directly from Gmail?

You may use pdfFiller's Gmail add-on to change, fill out, and eSign your logisticare mileage as well as other documents directly in your inbox by using the pdfFiller add-on for Gmail. pdfFiller for Gmail may be found on the Google Workspace Marketplace. Use the time you would have spent dealing with your papers and eSignatures for more vital tasks instead.

How can I modify sc mileage log without leaving Google Drive?

By integrating pdfFiller with Google Docs, you can streamline your document workflows and produce fillable forms that can be stored directly in Google Drive. Using the connection, you will be able to create, change, and eSign documents, including south carolina reimbursement, all without having to leave Google Drive. Add pdfFiller's features to Google Drive and you'll be able to handle your documents more effectively from any device with an internet connection.

How do I complete sc logisticare mileage trip on an iOS device?

Make sure you get and install the pdfFiller iOS app. Next, open the app and log in or set up an account to use all of the solution's editing tools. If you want to open your sc gas trip, you can upload it from your device or cloud storage, or you can type the document's URL into the box on the right. After you fill in all of the required fields in the document and eSign it, if that is required, you can save or share it with other people.

What is SC Gas Mileage Reimbursement Trip Log?

The SC Gas Mileage Reimbursement Trip Log is a document used to record mileage driven for work-related purposes to claim reimbursement for gas expenses incurred during business trips.

Who is required to file SC Gas Mileage Reimbursement Trip Log?

Employees who use their personal vehicles for business purposes and seek reimbursement for gas expenses are required to file the SC Gas Mileage Reimbursement Trip Log.

How to fill out SC Gas Mileage Reimbursement Trip Log?

To fill out the SC Gas Mileage Reimbursement Trip Log, indicate the date of travel, starting and ending odometer readings, total miles driven, purpose of the trip, and any other required information as specified by the organization.

What is the purpose of SC Gas Mileage Reimbursement Trip Log?

The purpose of the SC Gas Mileage Reimbursement Trip Log is to provide a detailed account of miles driven for business purposes, allowing employees to claim reimbursements accurately and efficiently.

What information must be reported on SC Gas Mileage Reimbursement Trip Log?

The information that must be reported on the SC Gas Mileage Reimbursement Trip Log includes the date of the trip, starting and ending odometer readings, total mileage, purpose of travel, and any additional required details as per the reimbursement policy.