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Crim 2010 Coming

Employee Mileage Registation

Use this form to log your Smart Commute miles.  First select your company/worksite from the list below, then select your Smart Commuting option and enter miles travelled.  Be sure to enter your total Smart Commute mileage for the day, including commute to/from work, travel to lunch, errands, meetings, etc.  When you have completed the form, press "Submit".*
 
 * indicates required field
 
   Company         
 
First name:
Last name:           
 
  Select your method of Smart Commuting:    
  Enter  total Smart Commute distance (in miles):  
 
* Email Address :      
   Phone Number :   ( )   -
 

*  If your company does not appear in the list, please contact the Smart Commute coordinator at your workplace.