Mileage Reimbursement Request

This form is used to request mileage reimbursement for the use of a non-CCSD vehicle (e.g., personally owned or rental vehicle) while performing official job duties. This form is intended only for CCSD employees. Contractors are not eligible to use this form and must follow the reimbursement process established by the employment agency through which they were placed, if applicable. Prior to submitting a Mileage Reimbursement Request, employees should consult with their site Administrator. All requests must be approved by the Administrator after submission before any reimbursement payments are issued.

Submission of this form requires a valid CCSD Gmail account.

Mileage Reimbursement Request Note: This is an internal form that can only be accessed from within CCSD.