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Aside Card Order Form Complete all fields and print clearly. First-time new card order Indicate the Type of Card Order* Additional card set for dependents (2 cards per set) number of card sets needed
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How to fill out washington flex debit card

How to Fill Out Washington Flex Debit Card:
01
Visit the Washington Flex Debit Card website or contact the Washington Flex Customer Service to request an application form.
02
Complete the application form with accurate personal information such as your full name, social security number, date of birth, and contact details.
03
Provide your employment information, including your current employer name, address, and contact information.
04
Indicate the desired contribution amount or percentage from your paycheck to be loaded onto the Washington Flex Debit Card each pay period.
05
Choose your desired investment options for the funds on the card, if applicable.
06
Review the terms and conditions of the Washington Flex Debit Card program and agree to them by signing and dating the application form.
07
Submit the completed application form via mail, fax, or email to the designated address or contact information provided.
08
Wait for approval from the Washington Flex program administrators. Once approved, you will receive your Washington Flex Debit Card by mail.
Who needs Washington Flex Debit Card:
01
Employees who have a flexible spending account (FSA), health reimbursement arrangement (HRA), or health savings account (HSA) through their employer.
02
Individuals who want to use pre-tax dollars to pay for eligible healthcare expenses, such as medical bills, prescriptions, and other qualified healthcare expenditures.
03
People who prefer a convenient and secure way to access their healthcare funds, as the Washington Flex Debit Card can be used at eligible providers and merchants that accept Mastercard for payment of qualified expenses.
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What is washington flex debit card?
Washington Flex Debit Card is a benefit program that allows employees to set aside pre-tax dollars for eligible healthcare and dependent care expenses.
Who is required to file washington flex debit card?
Employees who wish to participate in the Washington Flex Debit Card program are required to file.
How to fill out washington flex debit card?
Employees can fill out the Washington Flex Debit Card enrollment form provided by their employer with their desired contribution amount.
What is the purpose of washington flex debit card?
The purpose of the Washington Flex Debit Card is to help employees save money on eligible healthcare and dependent care expenses by using pre-tax dollars.
What information must be reported on washington flex debit card?
Employees must report their desired contribution amount for healthcare and dependent care expenses.
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