Mileage Reimbursement - Blueray Aquatics

Employee Mileage Reimbursement

Submit daily mileage for reimbursement. Enter odometer readings at clock-in and clock-out for each trip. Only mileage driven while clocked in is eligible.

Phone

This field is for validation purposes and should be left unchanged.

Employee Name(Required)

First Last

Pay Period(Required)

Date – Entry 1

Odometer Start – Entry 1

Reading at clock-in

Odometer End – Entry 1

Reading at clock-out

Miles – Entry 1

Price: $0.00

Auto-calculated (Odometer End − Start)

Date – Entry 2

Odometer Start – Entry 2

Reading at clock-in

Odometer End – Entry 2

Reading at clock-out

Miles – Entry 2

Price: $0.00

Auto-calculated (Odometer End − Start)

Date – Entry 3

Odometer Start – Entry 3

Reading at clock-in

Odometer End – Entry 3

Reading at clock-out

Miles – Entry 3

Price: $0.00

Auto-calculated (Odometer End − Start)

Date – Entry 4

Odometer Start – Entry 4

Reading at clock-in

Odometer End – Entry 4

Reading at clock-out

Miles – Entry 4

Price: $0.00

Auto-calculated (Odometer End − Start)

Date – Entry 5

Odometer Start – Entry 5

Reading at clock-in

Odometer End – Entry 5

Reading at clock-out

Miles – Entry 5

Price: $0.00

Auto-calculated (Odometer End − Start)

Date – Entry 6

Odometer Start – Entry 6

Reading at clock-in

Odometer End – Entry 6

Reading at clock-out

Miles – Entry 6

Price: $0.00

Auto-calculated (Odometer End − Start)

Date – Entry 7

Odometer Start – Entry 7

Reading at clock-in

Odometer End – Entry 7

Reading at clock-out

Miles – Entry 7

Price: $0.00

Auto-calculated (Odometer End − Start)

Date – Entry 8

Odometer Start – Entry 8

Reading at clock-in

Odometer End – Entry 8

Reading at clock-out

Miles – Entry 8

Price: $0.00

Auto-calculated (Odometer End − Start)

Date – Entry 9

Odometer Start – Entry 9

Reading at clock-in

Odometer End – Entry 9

Reading at clock-out

Miles – Entry 9

Price: $0.00

Auto-calculated (Odometer End − Start)

Date – Entry 10

Odometer Start – Entry 10

Reading at clock-in

Odometer End – Entry 10

Reading at clock-out

Miles – Entry 10

Price: $0.00

Auto-calculated (Odometer End − Start)

Date – Entry 11

Odometer Start – Entry 11

Reading at clock-in

Odometer End – Entry 11

Reading at clock-out

Miles – Entry 11

Price: $0.00

Auto-calculated (Odometer End − Start)

Date – Entry 12

Odometer Start – Entry 12

Reading at clock-in

Odometer End – Entry 12

Reading at clock-out

Miles – Entry 12

Price: $0.00

Auto-calculated (Odometer End − Start)

Summary

Total Miles

Price: $0.00

Sum of all 12 trip entries

Total Reimbursement

Price: $0.00

Calculated at $0.725/mile (2026 IRS rate). Mileage accrued after clock-in only.