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Continual Reimbursement Request Orthodontia and Dependent Care ExpensesPlease send completed form and required documentation to National Benefit Services.1 Personal Information Employee Name (First
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How to fill out continual reimbursement request

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How to fill out continual reimbursement request

01
To fill out a continual reimbursement request, you need to follow these steps:
02
Obtain the reimbursement form from your employer or the appropriate department.
03
Fill in your personal information, such as your name, address, and contact details.
04
Provide the necessary details about the expenses you wish to be reimbursed for, including the date, description, and amount for each expense.
05
Attach any supporting documents, such as receipts or invoices, to validate your expenses.
06
Calculate the total amount to be reimbursed and provide the necessary calculations if required.
07
Sign and date the reimbursement request form.
08
Submit the completed form and supporting documents to the designated person or department for review and processing.
09
Keep a copy of the form and supporting documents for your records.
10
Follow up with the appropriate person or department to track the status of your reimbursement request.

Who needs continual reimbursement request?

01
Any individual who has incurred eligible expenses and is entitled to reimbursement can submit a continual reimbursement request. This can include employees, contractors, or individuals who have made payments on behalf of an organization or entity. The specific eligibility criteria may vary depending on the organization's reimbursement policies and guidelines.
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A continual reimbursement request is a formal request to be reimbursed for expenses over a period of time.
Employees or individuals who have incurred expenses that are eligible for reimbursement.
To fill out a continual reimbursement request, you must provide details of the expenses incurred, supporting documentation, and any other required information.
The purpose of a continual reimbursement request is to receive reimbursement for expenses that have been incurred.
The information that must be reported on a continual reimbursement request includes the amount of each expense, the date of each expense, and the purpose of each expense.
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