Fridley Public Schools - Administrator Mileage Option
Administrator Mileage Option
Organization:
Fridley Public Schools
Assigned To:
Public User
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Please answer the questions below.
ADMINISTRATOR MILEAGE OPTION FORM
NAME:
NAME: required
Email Address:
Email Address: required
I, (name above), choose the following mileage option:
Mileage Options
To receive the contracted amount in my contract.
To be reimbursed for actual mileage in accordance with IRS regulations.
Mileage Options required
No combination of options is available. The selection of option shall be made prior to
July 1
and submitted to the Payroll Department.
Signature:
Please type your name, click to digitally sign, enter today's date and click SUBMIT
Signing
Signature is required
By typing in your name (your “eSignature”), you accept and consent to be legally bound by this document’s statements, terms and conditions as if this document was signed by you in writing with pen on paper. You agree that no third party or other means of verification is necessary to validate your eSignature and that the lack of such third party or other means of verification will not in any way affect the enforceability of this document.
Date:
Date: required
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History
Step:
Someone starts form
Sent To: Public User, On:
12/21/2024 10:37:25 AM Central Standard Time