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MANUAL FLEXIBLE BENEFITS CLAIM FORM USE THIS FORM FOR ALL MANUAL CLAIMS Employers Name: ATLANTA PUBLIC SCHOOLS Employees Name: Contact # Employees Social Security Number: / / Claimants Name: Relationship
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Manual flexible benefits claim is a process where employees manually submit their claims for flexible benefits such as healthcare, dependent care, or transportation expenses.
Employees who are enrolled in flexible benefits programs and wish to claim reimbursement for eligible expenses are required to file manual flexible benefits claim.
To fill out a manual flexible benefits claim, employees need to complete the claim form provided by their employer, attach relevant receipts or documentation, and submit it to the benefits administrator for review and processing.
The purpose of manual flexible benefits claim is to enable employees to receive reimbursement for eligible expenses incurred as part of their flexible benefits program.
Employees must report details of the expenses incurred, including the nature of the expense, the amount, and any supporting documentation such as receipts or invoices.
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