Travel Request Form

Traveler's name

Jimmy Johns Week

Mileage should start at your first location of the day and end at the last location of the day. Travel to and from home is not to be calculated. Your description should draw a map of where you traveled to and from. Visited all stores is not valid and will result in your request being rejected.

WED.

Miles traveled

Briefly state travel for the day
Example: Office-Dollar Tree-890-204-Ofiice

Shift
Enter your shift for the day

Thurs.

Miles traveled

Briefly state travel for the day
Example: Office-Dollar Tree-890-204-Ofiice

Shift
Enter your shift for the day

Fri.

Miles traveled

Briefly state travel for the day
Example: Office-Dollar Tree-890-204-Ofiice

Shift
Enter your shift for the day

Sat.

Miles traveled

Briefly state travel for the day
Example: Office-Dollar Tree-890-204-Ofiice

Shift
Enter your shift for the day

Sun.

Miles traveled

Briefly state travel for the day
Example: Office-Dollar Tree-890-204-Ofiice

Shift
Enter your shift for the day

Mon.

Miles traveled

Briefly state travel for the day
Example: Office-Dollar Tree-890-204-Ofiice

Shift
Enter your shift for the day

Tues.

Miles traveled

Briefly state travel for the day
Example: Office-Dollar Tree-890-204-Ofiice

Shift
Enter your shift for the day

Total weekly mileage
This number should be decided by total daily amount minus your preset base travel.

Weekly Shifts
Total number of shifts for the week

This form is being submitted for review and final approval prior to reimbursement being finalized.