Inspector Mileage Reimbursement Inspectors should use this form to receive reimbursement for miles driven during inspections. Inspection Date* MM slash DD slash YYYY Inspector Name* First Last How many schools were visited in this trip?*1234Beginning Address*Please enter the address where you started. This should usually be your home or your office. Street Address City State / Province / Region ZIP / Postal Code First Center Visited. Enter Number or Name.* City* Miles Driven to First Destination*Second Center Visited. Enter Number or Name.* City* Miles Driven to Next Destination*Third Center Visited. Enter Number or Name.* City* Miles Driven to Next Destination*Fourth Center Visited. Enter Number or Name.* City* Miles Driven to Next Destination*Ending Address Address*Please enter the address where you ended. This should usually be your home or your office. Street Address City State / Province / Region ZIP / Postal Code Miles Driven to Home or Final Destination*Tolls?*Please enter the total of all tolls paid for all travel.Please enter a number from 0 to 50.Upload Toll Receipts*Toll payments must have a receipt. Please upload the PDF of your toll receipts here. Drop files here or Select files Max. file size: 20 MB. Did you purchase food and/or beverages?* No Yes Food and Beverage Total*Please enter total of all receipts. Receipts MUST accompany reimbursements.Food and Beverage*If you need to submit reimbursements for food and beverage, please scan all receipts and upload them below. Drop files here or Select files Max. file size: 20 MB.