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FSA/HRA REIMBURSEMENT CLAIM FORM(Please Print Clearly)Page 1Want your reimbursement faster? File your claim online via the employee portal (www.BRiWeb.com) or via the Mobile app, if allowed by your
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How to fill out want your reimbursement faster

01
To fill out your reimbursement faster, follow these steps:
02
Collect all your receipts and make sure they are organized.
03
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04
Fill out the form accurately and provide all the required information.
05
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06
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By following these steps, you can expedite the reimbursement process and receive your reimbursement faster.

Who needs want your reimbursement faster?

01
Anyone who is eligible for reimbursement from their company or organization would benefit from filling out their reimbursement faster. This includes employees, contractors, and other individuals who have incurred expenses that are eligible for reimbursement, such as travel expenses, business-related purchases, or work-related expenses. Streamlining the reimbursement process can be advantageous for both individuals and the organization, ensuring timely and accurate reimbursements.
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A process to receive reimbursement in a quicker manner.
Anyone seeking a faster reimbursement process.
Follow the instructions provided on the reimbursement form for a quicker process.
To expedite the reimbursement process for individuals.
All relevant details pertaining to the reimbursement request.
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