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You can calculate mileage reimbursement in three simple steps: Select your tax year. Input the number of miles driven for business, charitable, medical, and/or moving purposes. Click on the "Calculate" button to determine the reimbursement amount.
Instructions – Form OWCP-957 Part A – Medical Travel Refund Request – Mileage This is a mileage only reimbursement form. If you need other travel expenses reimbursed, complete Form OWCP-957
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. Form name. Medical mileage expense form - English/Spanish. * For travel on or after 1/1/24. Medical mileage expense form - English/Spanish.
17 lut 2024 · Effective February 17, 2024, you must use and complete the new Medical Travel Refund Request- Expenses, OWCP-957B form, to obtain reimbursement for mileage cost, and other expenses for travel related to medical treatment for your covered Black Lung condition.
The workers' comp agencies in many states provide standard mileage reimbursement forms that can be used for this purpose. You can usually download these forms from the agency's website. (Find links to the agency in your state on this map tool .)
OWCP. Federal Employees' Compensation Program. Medical Travel Refund Request. We have made the process of filing for medical travel reimbursement easier with two new streamlined forms. OWCP-957A - Medical Travel Refund Request – Mileage. OWCP-957B - Medical Travel Refund Request – Expenses. Federal Employees. Energy Program. Black Lung. Longshore.
If you are injured on the job in California and you need to travel to a doctor’s office, therapy office, a pharmacy to pick up medication, or to a law office to attend a deposition, the insurance carrier has to reimburse you for your mileage. The medical mileage rate for 2023 is 62.5 cents per mile. It does not matter when the date of injury was.
