Useful Forms and Documents

 

Form Type/Document File Type Description
PDF
Submit this form in order to request reimbursement for your out-of-pocket expenses. Please note that you will need to include a detailed service statement (NOT JUST PROOF OF PAYMENT) in order for your reimbursement request to be approved.
PDF
This guide provides detailed information about how the FSA program works.
PDF
This guide provides detailed information about how the DCAP program works.
PDF
This guide provides detailed information about how the FSA program works.
PDF
This guide provides detailed information about how the DCAP program works.