Get the free FSA/TRA Enrollment Form- AFSCME/IAFF/Non-Rep - eugene-or
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CITY OF EUGENE
Flexible Spending Account (FSA) / Transportation Reimbursement Account (ERA)
Enrollment Form & Compensation Reduction Agreement
Election Plan Year: 2017
Name: (Last, First, Middle Initial):Employee
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What is fsatra enrollment form- afscmeiaffnon-rep?
The fsatra enrollment form- afscmeiaffnon-rep is a form used to enroll in the flexible spending account (FSA) program for AFSCME Iaffiliated non-represented employees.
Who is required to file fsatra enrollment form- afscmeiaffnon-rep?
AFSCME Iaffiliated non-represented employees are required to file the fsatra enrollment form.
How to fill out fsatra enrollment form- afscmeiaffnon-rep?
To fill out the fsatra enrollment form, employees need to provide personal and benefit election information as required by the FSA program.
What is the purpose of fsatra enrollment form- afscmeiaffnon-rep?
The purpose of the fsatra enrollment form is to enroll employees in the FSA program, allowing them to set aside pre-tax dollars for eligible healthcare and dependent care expenses.
What information must be reported on fsatra enrollment form- afscmeiaffnon-rep?
Employees must report personal information, dependent information (if applicable), and elect their FSA contribution amounts on the fsatra enrollment form.
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