Get the free www.lexingtonma.govhuman-resourcesfilesFlexible Spending Enrollment FormLexington, MA
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TOWN OF LEXINGTON, MA
FLEXIBLE BENEFIT PLAN ENROLLMENT FORM
PLAN YEAR: JULY 1 TO JUNE 30
A. Employee InformationPlease Print Clearly! Name:
Home Address:
Check if New: Social Security Number (Required):City:
Email
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Who needs wwwlexingtonmagovhuman-resourcesfilesflexible spending enrollment formlexington?
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The www.lexingtonma.gov/human-resources/files/flexible spending enrollment form Lexington is needed by employees of Lexington who wish to enroll in the flexible spending program offered by the human resources department. This form allows employees to indicate their desired allocation of pre-tax dollars into a flexible spending account for eligible expenses.
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The www.lexingtonma.gov/human-resources/files/flexible-spending-enrollment-form-lexington is a form used for enrolling in a flexible spending account program offered by the Human Resources department in Lexington.
Who is required to file www.lexingtonma.gov/human-resources/files/flexible-spending-enrollment-form-lexington?
All employees who wish to enroll in the flexible spending account program in Lexington are required to file the form.
How to fill out www.lexingtonma.gov/human-resources/files/flexible-spending-enrollment-form-lexington?
The form can be filled out by providing personal information, choosing a contribution amount, and signing the document.
What is the purpose of www.lexingtonma.gov/human-resources/files/flexible-spending-enrollment-form-lexington?
The purpose of the form is to enroll employees in a flexible spending account program that allows them to set aside pre-tax dollars for eligible expenses.
What information must be reported on www.lexingtonma.gov/human-resources/files/flexible-spending-enrollment-form-lexington?
Employees must report their personal information, desired contribution amount, and sign the form.
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