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Union County Flexible
Spending and Dependent
Daycare Election Form
EMPLOYEEINFORMATION:(CompletedbyEmployee)ENROLLMENTINFORMATION:(CompletedbyHR)Name:DateofPlanEntry:Email:DateofFirstPayrollDeduction:SSN:AssignedPayrollSchedule:Address:TotalNumberofPayPeriods:City:1/12/1826
MED/DEPDateofHire:State:Opcode:Phone:Homework
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What is union county flexible?
Union County flexible refers to a flexible spending account offered through Union County for employees to contribute pre-tax dollars for eligible medical expenses.
Who is required to file union county flexible?
All Union County employees who wish to participate in the flexible spending account must file for it.
How to fill out union county flexible?
Union County employees can fill out the flexible spending account form provided by the county's HR department.
What is the purpose of union county flexible?
The purpose of Union County flexible is to help employees save money on eligible medical expenses by contributing pre-tax dollars.
What information must be reported on union county flexible?
Employees must report their desired contribution amounts, eligible medical expenses, and any other required information on the Union County flexible form.
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