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Health Economics Group, Inc. BENNY PREPAID BENEFITS CARD SUBSTANTIATION FORM Employer Name: Plan Year: through EMPLOYEE FIRST NAME EMPLOYEE LAST NAME HOME ADDRESS ? Check here if new address E-MAIL
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How to fill out debit card - substantiation:

01
Start by gathering all the necessary information, such as purchase receipts, invoices, or billing statements that require substantiation.
02
Review each transaction to determine if it meets the criteria for substantiation. This typically includes expenses that are related to eligible categories, such as medical expenses or dependent care expenses.
03
Fill out the debit card - substantiation form provided by your employer or benefits administrator. This form usually requires you to provide details about each transaction, such as the date, vendor name, description of the expense, amount, and any supporting documentation.
04
Attach the appropriate documentation to the form. This may include copies of receipts or invoices that prove the expense was eligible for reimbursement.
05
Double-check all the information filled out on the form to ensure accuracy. Make sure to include all the required fields and follow any specific instructions provided by your employer or benefits administrator.
06
Submit the completed debit card - substantiation form along with the supporting documentation to your employer or benefits administrator according to their preferred method, such as via mail, fax, or online submission.
07
Keep a copy of the completed form and supporting documentation for your records.

Who needs debit card - substantiation:

01
Individuals who participate in employer-sponsored benefit plans that offer debit cards for certain eligible expenses may need debit card - substantiation.
02
Employers or benefits administrators often require employees to submit substantiation for certain expenses paid with a debit card to comply with IRS regulations and ensure that the expenses are eligible for reimbursement.
03
Debit card - substantiation is necessary to provide proof that the transactions made with the debit card comply with the guidelines set by the employer or benefits plan, and to prevent any potential misuse of funds.
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Debit card substantiation refers to the process of providing supporting documentation for expenses paid using a debit card, to prove that the expenses were legitimate and qualify for reimbursement.
Employees who use a debit card for business expenses and need to be reimbursed by their employer are required to file debit card substantiation.
To fill out debit card substantiation, employees need to provide details of the expense, including the date, amount, vendor, and business purpose. They also need to attach receipts to support the expense.
The purpose of debit card substantiation is to ensure that expenses paid using a debit card are legitimate business expenses and comply with company policies.
Information that must be reported on debit card substantiation includes the date of the expense, the amount spent, the vendor, the business purpose, and any other relevant details.
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