Client information sheet please complete taxpayer spouse ss# birth date ss# birth date employer employer retired or job title retired or job title address county live inside city limits of: work inside city limits of: school district home phone #...
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Common carrier transportation services trip log this form can be filled out by the driver. the transportation provider organization must keep it in the member s file for 10 years. ucare representatives may audit the trip forms at any time. member...
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Jan 1, 2018 transportation by personal vehicle: first date of travel after 1-1-2018. 54.5 cents per mile if the total round trip mileage is less than 100 miles. parking/ auto related, valets, $2.00 per car when collecting the car commissions,...
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Special transportation services (sts) trip log this form can be filled out by the driver. the transportation provider organization must keep it in the member s file for 10 years. ucare representatives may audit the trip forms at any time. member...
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Business questionnaire (partnerships) company information checklist items yes phone number company name 1) did the company name, phone number, or address change since your prior year return? not required no company address domestic general...
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Employee mileage log form attach to printed expense report. name department # time period this submission: expense report # phone extension date destination business purpose (a) total mileage (b) normal commute mileage (a minus b) allowable...
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Mirto cpa, pllc name: taxable year ended: 2013 additional information needed for: federal law enforcement agents: expenses incurred but nor reimbursed, not eligible for reimbursement or not provided by your employer for the following: for...
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Fin web travel expense reimbursement claim support 2013 (for travel after 1/1/2013) employee information description of travel name purpose address destination(s) (home mailing) city zip date(s) date & time travel started and stopped employee id #...
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Mileage expense reimbursement date: month: name: odometer date travel to travel purpose start end total mileage rate per mile total due page total total miles signature: this report must be received in the main office on the 25th of each month...
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Mcfi fiscal agent mileage log pay period end date: employee number: print employee name: print client name: date from to purpose / description total: employee signature date client signature date * in order to be paid by mcfi fiscal agent, please...
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University of south alabama traveler's name local travel log (privately owned vehicle) work base date of travel time of travel specific business purpose from (street address)* to (street address)* round trip (y?n?) trip mileage note - travel log...
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Motor vehicle assessment appeal for high mileage vehicles state law requires the assessment of motor vehicles at fair market value to determine the value of a vehicle as of jan. 1 of a tax year. the commissioner of the revenue uses the clean loan...
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For more information on ets and how to enroll, visit the california department of social services (cdss) ets website at: http://.cdss.ca.gov/inforesources/ihssproviders/resources/timesheetinformation. this is an optional payrollservice and not...
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Longview school district no. 122 reset form monthly mileage log/reimbursement authorization employee name work site: address city state budget code zip print form choose site month choose one year 2013 budget code date location of trips made for...
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Individual cardholder application please print clearly and completely. incomplete applications can not be processed. cardholder information: first name 12 characters billing address: us bank purchasing card middle initial 1 character business...
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