Limited Purpose FSA Card Expense Substantiation Form: Instructions
How To Substantiate a Limited Purpose FSA Card Purchase To substantiate a card purchase, you will need to supply a receipt that clearly proves the eligibility of a purchase made using the Limited Purpose Flexible Spending Account (LPFSA) Card. For each card purchase that you have been asked to substantiate, you should: 1
1. 2. 3....
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Share aflac flex one request for reimbursement form Form
8 Jan 2016 ... For your Health Care FSA, you will receive a spending account card, a secure ...
Until you receive a Validation Request Form (VRF), no action need be taken. ...
This includes expenses for eligible dependent children (under age 13) and ... you
submit the claim for reimbursement to ADP Benefits Solutions.