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 California State Fund Mileage Form 2013

California State Fund Mileage Form 2013

Use a California State Fund Mileage Form 2013 template to make your document workflow more streamlined.

Form to request reimbursement of medical travel expense. Mileage rates are different depending on the day you traveled. We will calculate the total due using the miles traveled. Please see example below. California law requires the following to appear on this form: Any person who knowingly presents a false or fraudulent claim for the payment of a loss is guilty of a crime and may be subject to ines and coninement in state prison. Please note: Mileage for reasonable travel to the pharmacy,...
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