Deer Lodge County, MT · Deer Lodge County
Work Claims Form
This county form lets a claimant report work hours, mileage, or employee expenses and request reimbursement from Anaconda-Deer Lodge County.
At a glance
- Issued by
- City of Deer Lodge County · Deer Lodge County, Deer Lodge County, Montana
- Notarization
- Not required: file this form without a notary.
- Official source
- adlc.us
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
The document includes a Work Claims Form for reporting hours worked, pay rates, work descriptions, and miles traveled, plus an Employee Expense Claims Form for reporting trip details and expenses. Claimants can use the fields to calculate totals and reimbursement and provide a signature for supervisor approval. The form does not state when claims are required or give a filing deadline.
Who needs it
A claimant or employee seeking reimbursement for reported work hours, mileage, travel, or other listed expenses can use this form.
How to submit it
Submit it to the county department named on the form; check the county website for current contact details.
About notarization
This document is signed without a notary; the claimant or employee signs and the supervisor approves the claim.
How to submit this form
- 1
Download the Form
Download the Work Claims Form PDF.
- 2
Complete the Claim
Fill in the applicable work hours, mileage, trip, expense, and reimbursement fields.
- 3
Sign the Form
Sign the claimant or employee signature field and obtain supervisor approval.
- 4
Submit to the County
Submit the form to the county department named on it; check the county website for current contact details.
Frequently asked questions
- What does the Work Claims Form cover?
- It includes sections for work hours and miles traveled, as well as employee trip expenses such as meals, lodging, mileage, and other listed costs.
- Who can use this form?
- A claimant can report work hours, work descriptions, and miles traveled. An employee can report trip details and expenses and request reimbursement.
- Do I need a notary for the Work Claims Form?
- No. The form has claimant or employee signature fields and a supervisor approval field, but no notary block.
- How do I submit the Work Claims Form?
- Submit it to the county department named on the form; check the county website for current contact details.