Get the free FSA/TRA Enrollment Form- AFSCME/IAFF/Non-Rep - City of Eugene

CITY OF EUGENE Flexible Spending Account (FSA) / Transportation Reimbursement Account (ERA) Enrollment Form & Compensation Reduction Agreement Election Plan Year: 2018 Name: (Last, First, Middle Initial):Employee

How to fill out fsatra enrollment form- afscmeiaffnon-rep

How to fill out fsatra enrollment form- afscmeiaffnon-rep

1. To fill out the fsatra enrollment form for afscmeiaffnon-rep, follow these steps:
2. Obtain the fsatra enrollment form from the authorized source.
3. Read the instructions carefully to understand the form's requirements.
4. Fill in your personal information accurately, including your full name, address, and contact details.
5. Provide the necessary employment information, such as your job title, department, and supervisor's name.
6. Indicate the coverage options you wish to select, such as medical, dental, vision, etc.
7. If you have dependents that require coverage, provide their details as well.
8. Review the completed form for any errors or missing information.
9. Sign and date the form to certify its accuracy.
10. Submit the filled-out fsatra enrollment form as per the specified instructions or designated authority.
11. Keep a copy of the form for your records.

Who needs fsatra enrollment form- afscmeiaffnon-rep?

1. The fsatra enrollment form for afscmeiaffnon-rep is required by individuals who are eligible for benefits provided by the afscmeiaffnon-rep organization. This form must be filled out by employees or members who want to enroll in the fsatra program and access the associated benefits.

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What is fsatra enrollment form- afscmeiaffnon-rep?

The fsatra enrollment form- afscmeiaffnon-rep is a form used by AFSCME union members who are non-represented to enroll in a Flexible Spending Account (FSA) program.

Who is required to file fsatra enrollment form- afscmeiaffnon-rep?

AFSCME union members who are non-represented are required to file the fsatra enrollment form- afscmeiaffnon-rep if they wish to participate in the FSA program.

How to fill out fsatra enrollment form- afscmeiaffnon-rep?

The fsatra enrollment form-afscmeiaffnon-rep can be filled out by providing personal information, selecting the desired FSA options, and signing the form.

What is the purpose of fsatra enrollment form- afscmeiaffnon-rep?

The purpose of the fsatra enrollment form-afscmeiaffnon-rep is to enroll AFSCME non-represented members in the FSA program, allowing them to set aside pre-tax money for eligible medical and dependent care expenses.

What information must be reported on fsatra enrollment form- afscmeiaffnon-rep?

The fsatra enrollment form-afscmeiaffnon-rep requires information such as personal details, FSA plan selections, and beneficiary designations.