Request & Reimbursement Forms

Current Federal Mileage Reimbursement Rate is:
$ .725 as of January 1, 2026
$ .70 as of January 1, 2025
$ .67 as of January 1, 2024

Instructions:

1. Select the form below that represents were you most commonly begin your trips. This would be considered your home school or location.

2. Complete the following items on the top of form:
Employee Name, Payroll ID (from pay stub), Payment Code (if known or will be completed by Central Office), Supervisor, Rate Per Mile (from above chart based on your union association contract language)

3. Complete the following items in the detail area:
Date (date that the trip was made), Destination (Select from drop down menu), Description (Reason for trip),Roundtrip (Yes/No)
**Mileage and Reimbursement will auto-calculate**

4. For trips that start at a different location or have a different destination use the bottom of the form (beginning with line 45) this will let you enter all information. Mileage should be calculated by using Mapquest from the correct address if within town and from the zip code 06468 if the trip is out of town.

5. Print form and sign.

6. Submit to appropriate supervisor for approval and forwarding to the finance office.

Masuk High School

Jockey Hollow

Fawn Hollow

Monroe Elementary

Stepney

Monroe Technology Department

Out of District Mileage

Current Federal Mileage Reimbursement Rate is:

$.725 as of January 1, 2026

$.70 as of January 1, 2025

$.67 as of January 1, 2024

Click Here for form.