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FLEXIBLE SPENDING ACCOUNT CLAIM FORM. Please do not staple your receipts to this page. Section 1 This section must be completed fully for all claims.
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Start by carefully reading the instructions provided for section 1. This will give you an overview of what information is required and how it should be presented.
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Begin by entering your personal details such as your name, address, and contact information. Make sure to double-check the accuracy of this information.
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Section 1 of this section is the initial part of the form where employees provide personal information and attest to their work authorization status.
All employees hired in the United States after November 6, 1986 are required to fill out section 1 of this section.
Employees must complete section 1 of the form on or before their first day of employment by providing personal information such as name, address, date of birth, and attesting to their authorization to work in the US.
The purpose of section 1 is to verify an employee's identity and authorization to work in the United States.
Section 1 requires personal information such as name, address, date of birth, citizenship status, and document details to establish work authorization.
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