MILEAGE CLAIM FORM - hawaii 2026

1. Click ‘Get Form’ to open the MILEAGE CLAIM FORM - hawaii in the editor.
2. 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.
3. Select the Type of Transportation you used by checking either 'Automobile' or 'Moped'.
4. Fill in your Case Manager's name to ensure proper processing of your claim.
5. Indicate your Parking Location and Parking Rate. This helps in calculating any additional fees incurred during your travel.
6. Record the FROM and TO addresses along with Odometer Readings for each leg of your journey. Accurate mileage is crucial for reimbursement.
7. 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.
8. Finally, have both you and your Case Manager sign the form to validate it before submission.

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