Free Mileage Reimbursement Forms | Word, Excel

A mileage reimbursement form is a document used by organizations to reimburse employees who use their personal vehicles for business-related travel, such as client meetings, site visits, or conferences.

Typically, the form has fields for recording the date of the trip, starting point, destination, and total miles traveled. Some forms may also contain fields for the make and model of the vehicle and the mileage rate utilized for reimbursement. The form helps employers keep accurate records of travel expenses and ensure their employees are fairly compensated for using their own cars for work purposes.

Mileage reimbursement is the refund or compensation of expenses associated with a personal vehicle. Reimbursements are often issued weekly, bi-weekly, or monthly, depending on an organization’s policies. After the employee fills out the form, it is sent to the appropriate department for clearance and processing, after which the reimbursement amount is calculated based on the mileage rate and distance traveled. The form streamlines the reimbursement process since it helps companies remain compliant with tax regulations and minimizes errors. 

This comprehensive article will address the intricacies of the reimbursement form. We will cover every element of the template, such as inputting employee details, performing mileage calculations, and attaching supporting documents. Do’s and don’ts and FAQs for using the form have also been discussed, along with statistical insights highlighting the template’s benefits. Since creating the form from scratch can be time-consuming, we have provided a wide collection of free templates for your convenience. These highly customizable documents are available for download in Excel, Word, and PDF formats. 

Free Templates

Free Mileage Reimbursement Form Template
Editable Mileage Reimbursement Form Example
Printable Mileage Reimbursement Form Sample
    Free Mileage Reimbursement Form Template
    Editable Mileage Reimbursement Form Example
    Printable Mileage Reimbursement Form Excel

      Key Components of a Mileage Reimbursement Form

      The form normally consists of components that capture critical information that aids in the processing and compensating mileage expenses. Discussed below are the main components of the form:

      The top of the form contains the company’s name, logo, and contact information. It may also contain other branding elements, such as a slogan or tagline, as they ensure the form and its contents pertain specifically to your company. They also reinforce the form’s authenticity and give it a professional look.

      Employee information

      The form has fields to input essential details about the employee seeking reimbursement. These include their full name, position or title, department, identification number, email address, and phone number. It also includes blank spaces for indicating the coverage start and end date. This information is necessary for accurate record-keeping and helps streamline the reimbursement process.

      Mileage calculation

      This section is the core of the reimbursement form, where you can provide fields for your employee to give pertinent travel-related information. These include the travel date, starting point, destination, and purpose of the trip (conference, client meeting, client visit, etc.). It also has fields for the odometer readings at the start and end of the trip and calculated mileage. This information allows your accounting department to calculate reimbursement amounts accurately.

      Total mileage

      Depending on the mileage calculation and odometer readings, the form automatically calculates the total number of miles traveled during the journey. Since manual calculations are not required, this feature ensures accurate mileage reporting. This streamlines the reimbursement process for both the accounting department and employees.

      Rate per mile

      Referencing your company’s mileage policies, include the agreed-upon reimbursement rate per mile. It is usually expressed in dollars per mile ($/Mile). This information allows for accurate reimbursement of expenses incurred during business travel.

      Total reimbursement

      The form automatically calculates the total reimbursement amount. It contains a formula that multiplies the total mileage by the rate per mile. This represents the final amount you owe your employee for business-related expenses.

      Supporting documents and receipts

      In this section of the form, you may provide space for your employee to attach relevant travel-related documents. These include parking, toll, and fuel receipts, along with documentation for other travel-related expenses, such as insurance, registration, and maintenance. These provide additional proof and help your company comply with relevant tax regulations.

      Employee declaration

      The form contains a statement whereby the employee affirms the accuracy of all the information provided. It highlights the significance of providing truthful information. This component also showcases the integrity of the reimbursement process.

      Employee signature & date

      The form has a section for the employee to sign the form. It also has a section for the date of submission. By signing the form, the employee attests to the accuracy and authenticity of the details they provide.

      Supervisor’s signature & date

      In this section, the employee’s immediate supervisor provides their handwritten signature. By signing the form, they acknowledge receipt of the form and verify the accuracy of the submitted information.

      Accountant’s approval signature & date

      The final section of the template is a field for the accountant or designated approver to sign the form. Their signature confirms that the employee’s reimbursement meets all the necessary standards for compliance and processing.

      Do’s and Don’ts for Using a Mileage Reimbursement Form 

      The form gives you a standardized framework to capture your employee’s travel-related expenses accurately. However, its use should be accompanied by clarity and accuracy to streamline the reimbursement process.

      Below, we will discuss some do’s and don’ts when using the template:


      Discussed below are some valuable tips to help you utilize the form effectively:

      Standardized format

      To maintain consistency across all reimbursement requests, ensure the form has a professional, standardized layout. With a consistent format, the accounting department can efficiently review reimbursement submissions. This also helps expedite the reimbursement process, ensuring employees are fairly compensated on time.

      Mobile-friendly design

      Optimize the template for mobile use to allow your employees to fill out the form while on the move. It should be flexible enough to be filled out on a smartphone or tablet. This feature helps employees who are constantly moving to submit reimbursement requests easily.

      Regular updates

      Regularly review the form to ensure compliance. Update the form to reflect any changes in reimbursement rates, company policies, or regulatory standards. An up-to-date reimbursement template ensures accuracy and a seamless reimbursement process.


      Below are certain practices to avoid when using the template:

      Not testing the form thoroughly

      Failing to extensively test the form before use may result in undiscovered bugs or issues. Thoroughly test the form with generic data before implementation. You may also seek the feedback of a third party to ensure its functionality and usability.

      Ignoring accessibility

      Not making the template accessible to all employees may make some employees feel left out. Incorporate accessibility features such as screen readers to ensure they can be used by all employees, including those with disabilities. These features enhance navigation by optimizing keyboard controls.

      Ambiguous terminology

      Avoid complex or ambiguous language when creating the form. Vague terms and unnecessary jargon can result in confusion and misunderstandings. Ensure the language and terminology used in the template can be understood by all employees.

      Frequently Asked Questions

      How often should I update the mileage reimbursement template?

      Regularly reviewing and updating the template or immediately after rate or policy changes is highly recommended. It should always reflect current reimbursement rates and company guidelines. This ensures employees have access to accurate information, streamlining the reimbursement process. Alternatively, consult with your company’s accounting department to help you plan your updates effectively.

      Can I integrate the form with our expense management system?

      If your company employs expense management software, it is possible to integrate the form to automate the reimbursement process. Integration can help automate tasks such as data entry, calculations, submissions, approvals, and transfer of funds. This reduces administrative burden and enhances the handling of employee data, streamlining the reimbursement process for both employees and the accounting department.

      What should I do if I have a unique reimbursement scenario that the template doesn’t cover?

      If you have a unique reimbursement scenario, you may modify the template to contain supplemental information. Alternatively, if your unique scenario entails a different set of calculations, you may need to create a second form that contains all the additional details. This can be attached to the initial reimbursement form and submitted together. Remember to consult with your accounting or human resources department to develop a solution that aligns with your company’s policies and IRS regulations.

      About This Article

      Ryan Powell
      Authored by:
      Professional Business Management, Quality Assurance, Human Resources, Supplier Management
      With over 15 years in professional business management and an additional 4 years in e-commerce, Ryan Powell has distinguished himself as a strategic leader, steering sites to generate revenues exceeding $100 million. His approach emphasizes proactive problem-solving and profit optimization. Personal attributes such as strong organization, time management, and team collaboration bolster his professional portfolio. Ryan's experience spans leadership roles from Supervisor to General Manager, with notable contributions in Tier 1 Aerospace sectors, partnering with industry leaders like Boeing and Raytheon. He's adept at quality assurance, aligning with AS/ISO 9001 standards, lean methodology, financial management, including P&L oversight, and human resource strategies that prioritize employee retention. Ryan's comprehensive skill set positions him as an invaluable asset to growth-focused organizations.

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