ALASKA OPERATING ENGINEERS/EMPLOYERS TRAINING TRUST
MILEAGE REIMBURSEMENT REQUEST
**Please be sure you have completed a STEP Grant Application prior to submitting this request**
***MILEAGE WILL BE VERIFIED VIA ON-LINE MAP SERVICE***
REQUIRED FIELDS**
Date Submitted**:
Class Attended**:
First Name**:
Last Name**:
Mailing Address**:
City**:
State**:
Zip Code**:
**If physical address is the same as mailing address you must type in "same" to required fields**
(Checks will be mailed to the FULL Mailing Address) (FULL PHYSICAL ADDRESS IS REQUIRED FOR REIMBURSEMENT)
Physical Address**:
Phone Number**:
Last 4 of SSN**:
Date (driving to training)**:
Start Odometer
End Odometer
Total Miles Driving TO Training**
Date (driving home)**:
Total Miles Driving Home**
MILEAGE TOTAL **