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C?NTSC? U? Tod??! www.myflexlogin.com Election Form Date: Please follow the steps below to thoroughly and accurately complete this form. Fax- # of Pages: Step 1: Personal Information (*Required) *Company

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What is fsa election form?

FSA election form is a form used to make elections for flexible spending accounts (FSAs) for healthcare and dependent care expenses.

Who is required to file fsa election form?

Employees who wish to participate in a flexible spending account (FSA) for healthcare or dependent care expenses are required to file the fsa election form.

How to fill out fsa election form?

To fill out the fsa election form, employees need to provide their personal information, choose the type of FSA they want to participate in, and indicate the contribution amount.

What is the purpose of fsa election form?

The purpose of the fsa election form is to allow employees to set aside pre-tax funds to cover eligible healthcare and dependent care expenses throughout the year.

What information must be reported on fsa election form?

Information such as personal details, FSA type selection, and contribution amounts must be reported on the fsa election form.

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