Mileage Reimbursement 2024 Form. If you need a medical mileage expense form for a year not listed here, please contact the information and assistance unit at your closest district office of the workers’ compensation appeals board. Use this form to claim your mileage or travel reimbursement by sending a completed copy to your claim examiner.
The standard mileage allowance (rate per mile multiplied by miles traveled) is intended to cover automobile expenses such as gas/fuel and lubrication, towing charges,. Tx mileage reimbursement trip log.