FM030: Mileage Reimbursement
        This form is ONLY for mileage claimed by UCT staff/students using their personal vehicles for UCT business.
        The rates applied are effective 1 March 2022.
        For all other reimbursements, please use specific forms: Reimbursement (UCT internal) (FM045); Reimbursement (UCT external) (FM049); 
        Subsistence & Travel (S&T) (FM032)
        Send completed form, with purchase order and supporting documentation, if required, to:  UCT Ad Hoc Payments, Creditors section, Finance 
        department, 2nd Floor Meulenhof, 93 Main Road, Mowbray. Only forms signed off by Faculty/PASS finance manager or nominee will be 
        processed.
        For more information, refer to the Finance policies and guidelines web page on UCT website>Services & Operations>Financial operations; 
        or, if online, click here for Mileage policy (PAY004).
           Name
           Department                                               SAP vendor #
           Staff #                                                  Purchase order #
           Student #                                                Goods receipt #
           A student who is also a member of staff is required to provide both staff and student numbers.
             Note:
           a)  Reimbursements will only be made to SAP staff/student vendors. 
                  To request a staff SAP vendor number, complete form FM040 or e-mail name and staff number to fnd-purch@uct.ac.za.
                  To request a student SAP vendor number, purchasers must complete the New Vendor Request transaction within SAP.
           b)  Each reimbursement claim should, where practical, be accumulated to a minimum value of R300.
           c)  Mileage reimbursements must be recorded on your IRP5. For this reason, please do NOT use petty cash for these claims, or your P-card 
               for fuel purchases.
           d)  If you receive a travel allowance, you cannot claim mileage reimbursements.
           e)  Travelling between home and UCT is considered private travel.
           f)  If electing to drive instead of fly, while on official UCT business, the total claim may not exceed the cost of an economy class airfare. 
               Please attach letter of motivation if not complying with this requirement
           g)  All reimbursements must be made within 6 months of being incurred, if not, a letter of motivation must be attached to the reimbursement 
               claim prior to being authorised.
           Date         From         To           Reason for trip                       Fund          Cost Object        KMs
                                                                                              Total distance (KMs)
           Vehicle make                                                       Registration #
           SARS rates per km (Please tick)           Motor vehicles             R4.18           Motor cycles         R2.92 
           Other amount per km, as agreed with fund holder, if less than SARS rates:                                R
                                               Total claim: Cost @ rate above x total distance        R
           I confirm that I used my own vehicle for UCT business, and all details completed above are true and correct.
           Payee                  Name                                 Date              Ext         Signature
           I have checked the details above & approve payment of this claim.
           Fund holder            Name                                 Date              Ext         Signature
           For claims exceeding R15 000, this claim must be approved by one authority level higher than the payee. 
           Line manager           Name                                 Date              Ext         Signature
             FINAL CHECK AND SIGN OFF BY FACULTY/PASS FINANCE MANAGER:
             This claim has been correctly authorised and complies with the Mileage policy (PAY004).
           Faculty/PASS           Name                                 Date               Ext         Signature
           Finance Manager
         18 March 2022          No reimbursement will be made unless signed off by Faculty/PASS finance manager             FM030