Reimbursement Request

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Employee Name

Manager Name

Expense Period Begin

អ៊ីមែល

Manager Email

Expense Period End

កាលបរិច្ឆេទ

Total Mileage

Description

Multiply by .625 (current rate)

Total Spent

Total Owed Mileage

Total Reimbursement Owed

$0.00

Upload Images of Receipts

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Comment or Message

អំពី

ការពារកុមារងាយរងគ្រោះ ពង្រឹងសហគមន៍ និងជម្រុញការផ្លាស់ប្តូរជាវិជ្ជមានសម្រាប់សុវត្ថិភាពកុមារ