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Vision Claim Form Head Office p 780.426.7526 f 780.425.1625 200 Woodward Center 1.800.232.1997 17010 103 Avenue Edmonton AB T5S 1K7 quikcard.com Or email the completed form with a copy of your receipt
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Quikcard forms are electronic forms used to report expenses paid with a flexible spending account (FSA) or health savings account (HSA) card.
Individuals who have used a FSA or HSA card to pay for eligible expenses during the tax year are required to file quikcard forms.
Quikcard forms can be filled out online by logging into the account associated with the FSA or HSA card and submitting the necessary information.
The purpose of quikcard forms is to provide documentation of expenses paid with a FSA or HSA card for tax and reimbursement purposes.
Quikcard forms must report the date of the expense, the amount spent, the merchant, and the type of expense (e.g. medical, dental, vision).
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