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Get the free Moore College Flexible Spending/Dependent Care Account Election Form - moore

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This document is used for enrolling in the flexible spending and dependent care accounts for the plan year June 1, 2012 to May 31, 2013, including personal information and contribution amounts.
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How to fill out Moore College Flexible Spending/Dependent Care Account Election Form

01
Obtain the Moore College Flexible Spending/Dependent Care Account Election Form from the HR department or online portal.
02
Read the instructions carefully on the form to understand the requirements.
03
Fill in your personal information, including your name, employee ID, and contact details.
04
Select the type of account you wish to elect: Flexible Spending Account or Dependent Care Account.
05
Indicate the amount you wish to contribute for the upcoming plan year.
06
Review your selections to ensure accuracy.
07
Sign and date the form to confirm your election.
08
Submit the completed form to your HR department by the deadline.

Who needs Moore College Flexible Spending/Dependent Care Account Election Form?

01
Employees of Moore College who wish to set aside pre-tax dollars for eligible healthcare or dependent care expenses.
02
Individuals with dependent care needs looking for assistance with childcare costs while they work.
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The Moore College Flexible Spending/Dependent Care Account Election Form is a document that allows employees to allocate a portion of their salary to pay for eligible dependent care expenses or medical expenses on a pre-tax basis.
Employees who wish to participate in the Flexible Spending or Dependent Care Account programs at Moore College are required to file this form.
To fill out the form, employees must provide personal information, select the desired contribution amounts for flexible spending and/or dependent care accounts, and sign the form to authorize payroll deductions.
The purpose of the form is to enable employees to manage their healthcare and dependent care expenses more efficiently by allowing them to set aside pre-tax dollars for these expenses.
The form must include employee identification information, election choices for the amounts to be contributed, and acknowledgment of the rules and eligibility requirements for using the accounts.
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