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Claim Form OntarioFlexSaveTMCompany Name: Employee Name:Date of Service dd/MMM/yyyyName of Claimant(your name / dependents name)Amount of Recapture of Expense(Health / Dental / Wellness)Total Claims
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What is flexsave forms?
Flexsave forms are forms used to report flexible spending account contributions, withdrawals, and other relevant information.
Who is required to file flexsave forms?
Employees who have a flexible spending account are required to file flexsave forms.
How to fill out flexsave forms?
Flexsave forms can typically be filled out online or through paper forms provided by the employer.
What is the purpose of flexsave forms?
The purpose of flexsave forms is to track and report contributions, withdrawals, and other activities related to a flexible spending account.
What information must be reported on flexsave forms?
Information such as contributions, withdrawals, reimbursements, and account balances must be reported on flexsave forms.
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