South carolina mileage reimbursement 2026

1. Click ‘Get Form’ to open the South Carolina Mileage Reimbursement form in the editor.
2. Begin by entering your name in the 'Injured Worker Name' field, followed by your home address in the designated area.
3. Fill in your employer's name and claim number. Ensure that you also include the date of the accident accurately.
4. For each trip, provide the full addresses for both 'From' and 'To' locations. Make sure to include street, city, state, and zip code.
5. Record the date of each trip and calculate round trip miles. Use a reliable source like MapQuest for accurate mileage.
6. Select the appropriate reimbursement rate based on the date of your trips from the provided rate schedule.
7. Finally, sign and date the form at the bottom before submitting it to ensure all information is complete.

Start using our platform today to easily fill out your South Carolina Mileage Reimbursement form for free!