Get the up-to-date form 25t 2011-2024 now

Show details

4 out of 5

60 votes

56 per mile for travel for medical treatment provided they travel 20 miles or more roundtrip starting January 1 2014. Special consideration will be given to employees who are totally disabled* No reimbursement is allowed for trips to purchase medications or supplies unless medically necessary. These items must be purchased on visits to medical providers G*S* 97-25. DATE / TOTAL MILES ROUNDTRIP CITY NAME OF MEDICAL PROVIDER OTHER EXPENSES If overnight stay is necessary the following items will b ...

Here's how it works

01. Edit your form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

How to quickly redact Form 25t 2011 online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Dochub is the greatest editor for changing your documents online. Adhere to this simple guideline edit Form 25t 2011 in PDF format online for free:

Sign up and sign in. Register for a free account, set a secure password, and go through email verification to start working on your templates.
Add a document. Click on New Document and select the file importing option: add Form 25t 2011 from your device, the cloud, or a secure URL.
Make adjustments to the sample. Take advantage of the upper and left panel tools to modify Form 25t 2011. Insert and customize text, images, and fillable areas, whiteout unneeded details, highlight the important ones, and comment on your updates.
Get your documentation completed. Send the form to other parties via email, create a link for quicker document sharing, export the sample to the cloud, or save it on your device in the current version or with Audit Trail added.

Discover all the advantages of our editor right now!