Forms and Publications Library

Forms
Authorization to Disclose Protected Health Information
Flexible Spending Account Claim Form (FSA)
Dependent Care Reimbursement Claim Form (DCAP)
Mass Transit and Parking Reimbursement Claim Form (CREA)
Direct Deposit Form
Certification of Medical Necessity
Healthcare Reimbursement Claim Form (HRA)
Proof of Payment Statement (orthodontia)

Informational Flyers and Brochures
Example of Common Reimbursable Expenses
Example of Eligible Over The Counter Expenses
Orthodontic Reimbursement Brochure
Expense Estimator
How Will a Flex Account Save Me Money?
Employee Claims Submission Tips
How Does Reimbursement Work?
How are Dual Purpose Items Reimbursed?

The Personal Choice Account News Bulletin
Volume 1
Volume 2
Volume 3
Special Bulletin - Criteria for Reimbursement of Dual Purpose Expenses
Volume 4

Worksheets and Tax Savings Publications
Expense Estimator


*Many of our forms and publications are in PDF format. If you do not have a PDF reader, click here to get it.