In And Around Mileage Statement Spreadsheet

In and Around Mileage Statement

I, _________________________________, certify that I was the owner/operator and

responsible for the operating costs of the privately owned vehicle used for this travel in and

around the TAD site. According to the JFTR; chapter U3510, I understand that I am entitled to

in and around mileage for travel between lodging and the duty site, between duty sites, or

between lodging or duty site and dining facilities.

DATE

FROM

MILES

Total miles: ________

Signature: ____________________________________

Date: _____________

PENALTY STATEMENT

There are severe criminal and civil penalties for knowingly submitting a false, fictitious, or fraudulent claim (U.S. Code,

Title 18, Sections 287 and 1001 and Title 31, Section 3729).

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Parent category: Miscellaneous