Fillable adp fsa card expense substantiation form

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 COMPLETE FORM 1. 2. 3....
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adp fsa card expense substantiation form