What does the Work Claims Form cover?

It has sections for work hours and mileage, plus employee expense claims covering trip descriptions, meals, travel, lodging, mileage, and other expenses.

Claimants or employees use it to report work or employee expenses for reimbursement. It includes fields for claimant or employee signatures and supervisor approval.

How do I submit the Work Claims Form?

The form does not give submission instructions. Submit it to the city department named on the form, and check the city website for current contact details.

Anaconda, MT · Deer Lodge County

No notary required

Work Claims Form

Anaconda–Deer Lodge County employees use this form to report work hours, mileage, and employee expenses when requesting reimbursement from the county.

What this form is

The form records work hours, rates, totals, and miles traveled, and includes a separate section for employee expense claims. Use it to document work or expenses for reimbursement; the document does not state when the county requires it. It asks for payee or employee details, dates, work or trip descriptions, amounts, and claimant or employee and supervisor signatures.

Who needs it

County employees or claimants seeking reimbursement for reported work hours, mileage, or employee expenses can use this form.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This document has no notary block; the claimant or employee signs and dates it, and the form includes a supervisor approval field.

How to submit this form

1
Download The Form
Download the Work Claims Form PDF.
2
Complete The Relevant Sections
Enter the claimant or employee details and the work hours, mileage, or expenses being claimed.
3
Gather Claim Details
Include the dates, work or trip descriptions, amounts, and other details requested by the relevant section.
4
Sign And Submit
Sign and date the form, obtain supervisor approval, and submit it to the city department named on the form.

Frequently asked questions

What does the Work Claims Form cover?: It has sections for work hours and mileage, plus employee expense claims covering trip descriptions, meals, travel, lodging, mileage, and other expenses.
Who uses this form?: Claimants or employees use it to report work or employee expenses for reimbursement. It includes fields for claimant or employee signatures and supervisor approval.
Do I need a notary for the Work Claims Form?: No. The form has no notary block; the claimant or employee signs and dates it, and the form includes a supervisor approval field.
How do I submit the Work Claims Form?: The form does not give submission instructions. Submit it to the city department named on the form, and check the city website for current contact details.

Need something notarized?

This Work Claims Form doesn’t need a notary — but if you have another Anaconda form that does, a commissioned online notary can help.