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Get the free Flexible Spending Account Claim Form - ABC Benefit Solutions

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Administrative Solutions, Inc. www.abcbenefitsolutions.net P.O. Box 410 Toll Free (877) 461-1424 Deborah, IA 52101 (563) 387-0789 benefits benefit solutions.us FAX (563) 387-0682 Flexible Spending
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A flexible spending account claim is a request for reimbursement of eligible expenses from a flexible spending account.
Employees who have contributed to a flexible spending account are required to file a claim to receive reimbursement for eligible expenses.
To fill out a flexible spending account claim, you need to provide details of the expenses, including the date, amount, and description of the expense. You may also need to attach supporting documents such as receipts or invoices.
The purpose of a flexible spending account claim is to request reimbursement for eligible expenses paid out of a flexible spending account.
The information that must be reported on a flexible spending account claim includes the date of the expense, the amount paid, the description of the expense, and any supporting documentation.
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