• Who is your supervisor? MS
  • Who is your supervisor? SSS
  • Who is your supervisor? RISE
  • Who is your supervisor? CVTEC
  • Are you claiming meals, lodging, or other misc expenses (besides mileage)?*
  • Mileage
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  • I hereby certify that the above claim(s) accurately represent mileage and/or expenses incurred in the performance of my assigned duties and are true and correct. I understand that the above are subject to review and that any intentional falsification may result in disciplinary action and/or termination of employment.

  • Today's Date*
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    2 digit month, 2 digit day, 4 digit year
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