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I further understand that expenses reimbursed by Flex may not be claimed on my income tax return as an income tax reduction. I authorize my Flexible Spending Account to be reduced by the amount requested. Employee s Signature 052808G /Ben/Shared/Flexmed. Co. missoula.mt. us/benefits FLEX MEDICAL EXPENSE REIMBURSEMENT REQUEST Use this form to submit claims by fax or mail. Please complete the applicable spaces on this form attach appropriate documentation and forward to Missoula County Risk...
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