Revised 1/2026
HICKMAN COUNTY BOARD OF EDUCATION MILEAGE REQUEST
Name
Title
Month/Year
Attach Conf/Training Flyer
Date
Miles
Explanation of Trip
From
To
From
To
From
To
From
To
From
To
From
To
From
To
From
To
From
To
From
To
From
To
From
To
From
To
From
To
From
To
From
To
Total Miles
@
$0.725
$
Signature
Supervisor
Code

## Table 1

|  | Name | Title | Month/Year |
| --- | --- | --- | --- |
| Date |  |  | Attach Conf/Training Flyer Miles Explanation of Trip |
|  | From | To |  |
|  | From | To |  |
|  | From | To |  |
|  | From | To |  |
|  | From | To |  |
|  | From | To |  |
|  | From | To |  |
|  | From | To |  |
|  | From | To |  |
|  | From | To |  |
|  | From | To |  |
|  | From To |  |  |
|  | From To |  |  |
|  | From To |  |  |
|  | From To |  |  |
|  | From To |  |  |
|  |  | Total Miles |  |
|  |  | @ $0.725 | $ |