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By providing the requested information you are authorizing BenefitsWorkshop to deduct this fee from your account. Plan year or 2 500 if married filing separately. Order additonal cards optional. A BenefitsWorkshop Debit Card will be ordered in the employee s name only. 8 I will acquire and retain sufficient documentation for any expense paid with the debit card. Participant Signature Date. 3 I cannot transfer money between the reimbursement accounts. 4 Unspent funds will be forfeited after...
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