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Clear Form Print Form Fax to: Aside (877) 8799038 *No Cover Page Required* Dependent Care/ Health Care Reimbursement Account Plans CLAIM FORM PLAN YEAR 201-Page 1 of NAME: (Please Print) Campus Social
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How to fill out csu claim form:

01
Fill in personal information: Provide your full name, contact information, and address. Include any relevant identification numbers, such as your CSU student ID or employee ID.
02
Describe the incident: Explain the details of the incident that led to your claim. Be as specific as possible, including dates, locations, and any parties involved.
03
Provide supporting documents: Attach any relevant documentation to support your claim. This may include receipts, invoices, medical reports, or any other evidence related to the incident.
04
State the desired resolution: Clearly articulate what you hope to gain from filing the claim. Whether it is reimbursement for expenses, compensation for damages, or any other resolution, be sure to state it in a concise manner.

Who needs csu claim form?

01
Students: CSU students who have experienced incidents that fall within the scope of the claim form may need to submit it to seek reimbursement or resolution.
02
Employees: CSU employees who have encountered incidents related to their work or job responsibilities may need to fill out the claim form to initiate a claim.
03
Visitors: Non-CSU individuals who have experienced incidents within CSU premises or during CSU-sponsored activities may need to complete the claim form to seek resolution.
Note: The specific requirements for filling out the CSU claim form may vary, so it is advisable to refer to the official CSU website or contact the relevant department for accurate and up-to-date instructions.
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CSU BClaimB BFormB is a form used to claim reimbursement for expenses incurred.
CSU BClaimB BFormB should be filed by employees who have incurred expenses on behalf of the organization.
To fill out CSU BClaimB BFormB, one must provide details of the expenses incurred, including receipts and supporting documentation.
The purpose of CSU BClaimB BFormB is to ensure that employees are reimbursed for legitimate expenses that they have incurred.
Information such as date of expense, description of expense, amount, and supporting documentation must be reported on CSU BClaimB BFormB.
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