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MILEAGE CLAIM FORM - hawaii 2026
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- Click ‘Get Form’ to open the MILEAGE CLAIM FORM - hawaii in the editor.
- Begin by entering your Participant Name, Month/Year, and Unit Name at the top of the form. This information is essential for identifying your claim.
- Select the Type of Transportation you used by checking either 'Automobile' or 'Moped'.
- Fill in your Case Manager's name to ensure proper processing of your claim.
- Indicate your Parking Location and Parking Rate. This helps in calculating any additional fees incurred during your travel.
- Record the FROM and TO addresses along with Odometer Readings for each leg of your journey. Accurate mileage is crucial for reimbursement.
- In the certification section, confirm that all provided information is true and accurate before signing. This step is vital for compliance with Hawaii's regulations.
- Finally, have both you and your Case Manager sign the form to validate it before submission.
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