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How to use or fill out 51 with our platform
- Click ‘Get Form’ to open the Mileage Worksheet in the editor.
- Begin by entering the date of your travel in the 'Date' column. This helps track when you incurred the expenses.
- In the 'Provider Name & Address' field, input the name and address of your medical provider for each visit.
- Select the type of service provided from options like medical, dental, vision, or prescription in the corresponding section.
- Record the number of miles traveled in the 'Number of Miles Traveled' column. Multiply this by the mileage rate (e.g., $0.16) to calculate total costs.
- If applicable, enter any parking costs in the designated field to ensure all expenses are documented.
- Finally, complete the Certification and Authorization section by signing and dating it to validate your request for reimbursement.
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