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Qualified Transportation Account Claim Reimbursement Form Office of the State Comptroller Healthcare Policy & Benefit Services DivisionCO1313 Revised 9/2018 SOCIAL SECURITY NUMBEREMPLOYEE NAMED ATE
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How to fill out qualified transportation account claim

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How to fill out qualified transportation account claim

01
To fill out a qualified transportation account claim, follow these steps:
02
Obtain a claim form from the administrator of your qualified transportation account.
03
Fill in your personal information, such as name, address, and contact details.
04
Provide the necessary details about the transportation expenses you are claiming, such as the date, amount, and description of the expense.
05
Attach any supporting documents, such as receipts or invoices, to validate your claim.
06
Review and double-check all the information you have provided for accuracy.
07
Sign and date the claim form.
08
Submit the completed claim form along with the supporting documents to the administrator of your qualified transportation account.
09
Await approval and reimbursement from the administrator.

Who needs qualified transportation account claim?

01
Qualified transportation account claim is needed by individuals who participate in a qualified transportation benefit program offered by their employer.
02
These programs allow employees to set aside pre-tax money to cover eligible transportation expenses, such as parking fees, public transportation passes, or vanpooling costs.
03
Employees who incur these transportation expenses can submit a claim to be reimbursed for the amount spent using their qualified transportation account.
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Qualified transportation account claim is a request made by an employee to receive reimbursement for eligible transportation expenses, such as parking or public transportation, through a pre-tax account.
Employees who participate in a qualified transportation account program offered by their employer are required to file a claim for reimbursement of eligible expenses.
To fill out a qualified transportation account claim, employees typically need to provide details of the eligible expenses incurred, such as the date, amount, and purpose of the expense.
The purpose of a qualified transportation account claim is to allow employees to receive reimbursement for eligible transportation expenses on a pre-tax basis, thereby providing cost savings for both the employee and employer.
The information reported on a qualified transportation account claim typically includes the date, amount, and purpose of each eligible transportation expense.
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