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ABOUT
Our Story
Values & Beliefs
Prayer
Pastor Grant
Articles
Contact Us
LOCATIONS
Gloucester
Greenbrier
Hampton
Harbour View
Smithfield
York River
Online
MINISTRIES
Liberty Kids
Liberty Students
Young Adults
Groups
Adults 55+
Correctional Ministry
NEXT STEPS
Baptism
Life Track
Messages
Groups
Serve People
Missions
EVENTS
RESOURCES
Messages
School of Ministry
Mobile App
Online Store
Recreation
Library
Food Services
Jobs
GIVE
Mileage Reimbursement Form
"
*
" indicates required fields
Full Name
*
Date
*
MM slash DD slash YYYY
Ministry
*
Select
Accounting
Communications
Event Services
Facilities
General Ministry
On-Campus Groups
Off-Campus Groups
Hospitality
Information Technology
Campus Pastor
Library
Media Center
Missions
Prayer Ministry
Prison Ministry
Production
Recreation
Safety
Senior Adults
Students
Worship
Young Adults
How many trips did you make?
*
Select
1
2
3
4
5
6
Up to 6 trip reimbursements can be submitted at a one time.
TRIP 1
Date
*
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
1
2
3
4
5
6
7
8
9
10
11
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14
15
16
17
18
19
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29
30
31
Year
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
REIMBURSABLE MILES
*
Purpose of Driven Miles
*
Department
*
Account
*
Select
5065 Travel - Local Mileage Reimbursement
5052 Travel - Auto-related/Mileage
Location
*
Select
Hampton - 10
Harbour View - 20
Greenbrier -30
Central - 40
York River - 60
Smithfield - 70
Gloucester - 80
Event Services - 90
TRIP 2
Date
*
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
REIMBURSABLE MILES
*
Purpose of Driven Miles
*
Department
*
Account
*
Select
5065 Travel - Local Mileage Reimbursement
5052 Travel - Auto-related/Mileage
Location
*
Select
Hampton - 10
Harbour View - 20
Greenbrier -30
Central - 40
York River - 60
Smithfield - 70
Gloucester - 80
Event Services - 90
TRIP 3
Date
*
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
REIMBURSABLE MILES
*
Purpose of Driven Miles
*
Department
*
Account
*
Select
5065 Travel - Local Mileage Reimbursement
5052 Travel - Auto-related/Mileage
Location
*
Select
Hampton - 10
Harbour View - 20
Greenbrier -30
Central - 40
York River - 60
Smithfield - 70
Gloucester - 80
Event Services - 90
TRIP 4
Date
*
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
REIMBURSABLE MILES
*
Purpose of Driven Miles
*
Department
*
Account
*
Select
5065 Travel - Local Mileage Reimbursement
5052 Travel - Auto-related/Mileage
Location
*
Select
Hampton - 10
Harbour View - 20
Greenbrier -30
Central - 40
York River - 60
Smithfield - 70
Gloucester - 80
Event Services - 90
TRIP 5
Date
*
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
REIMBURSABLE MILES
*
Purpose of Driven Miles
*
Department
*
Account
*
Select
5065 Travel - Local Mileage Reimbursement
5052 Travel - Auto-related/Mileage
Location
*
Select
Hampton - 10
Harbour View - 20
Greenbrier -30
Central - 40
York River - 60
Smithfield - 70
Gloucester - 80
Event Services - 90
TRIP 6
Date
*
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
REIMBURSABLE MILES
*
Purpose of Driven Miles
*
Department
*
Account
*
Select
5065 Travel - Local Mileage Reimbursement
5052 Travel - Auto-related/Mileage
Location
*
Select
Hampton - 10
Harbour View - 20
Greenbrier -30
Central - 40
York River - 60
Smithfield - 70
Gloucester - 80
Event Services - 90
Totals
Total Reimbursable Miles
*
Mileage Rate
$0.67 Per Mile
Total
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