ࡱ> UWT3 bjbjzz .Jhh  D $t~$$$$$$$$s')*r$$$[[[~$[~$[[V."@"p}>vn" j$$0$z" **""\*"[$$$* X x: BRYN MAWR/HAVERFORD EDUCATION PROGRAM TRANSPORTATION EXPENSE REIMBURSEMENT REPORT Fall 2022 Name of Student: _____________________________________________________________ College: __________ College ID #: __________ Telephone Number: ______________ E-Mail: _________________________________ If a ճԹ student, your campus box number:__________ Education course/s: The Education Program reimburses students for field travel costs per the guidelines stated below. IMPORTANT NOTE: Reimbursement cannot be processed if valid receipts are not submitted with this form. Driving in Personal Vehicle: The Education Program follows the College policy of using the standard mileage rate determined by the IRS (56 cents per mile). Remember to SAVE YOUR RECEIPTS for all tolls. SEPTA Regional Train Tickets: Train stubs do not count as receiptsplease ask for a receipt when purchasing your ticket. Also, individual tickets only, NOT SEPTA PASSES, are acceptable for reimbursement. Bus/Trolley/Subway/Norristown High Speed Line Trips: Print out your  HYPERLINK "http://www.septa.org/key/" Septa KeyCard trip history and highlight your field placement trips. Submit this history with this transportation reimbursement request. Lyft/Uber/Enterprise Car Share: The Education Program will reimburse the student at the standard mileage reimbursement rate (56 cents per mile). Submit ride-sharing receipt as well as a printed map of the route that shows total mileage with this transportation reimbursement form. Please describe the type of transportation expense, i.e. train/bus/subway/tolls//metered parking. If traveling by personal car, record number of miles driven and calculate the cost at 58.5 cents per mile. ATTACH ALL RECEIPTS! DateName of OrganizationLocation: Address, City, & StateDescription of Travel ExpensesMileage (# of miles)Cost $ $ $ $ $ $ $ $ $ $ TOTAL: $________ NOTE: The maximum amount of transportation reimbursement a student may receive per semester is $416.00. Deadlines for Fall 2022 Submit request form to Ann Ogle, Program Secretary, Bettws-Y-Coed, Room 112, ճԹ Submission Deadline: Payment Issued: August 26, 2022 September 6, 2022 September 23, 2022 October 3, 2022 October 28, 2022 November 7, 2022 November 22, 2022 December 5, 2022 . I certify the following: 1. I incurred the above expenses as a student currently enrolled in an Education Program class at ճԹ. The reported travel expenses are substantiated by the attached, original, itemized receipts which indicate method of travel and amount of payment. 2. No portion of the claimed travel expenses has or will be reimbursed from other sources. 3. Expenses adhere to the College's travel policy and guidelines. 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