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UPLOAD SCANNED DOCUMENTS VIA PBA REIMBURSEMENT PORTAL ORMA IL OR FAX TO: REIMBURSEMENT ACCOUNT P.O. BOX 1140 EXE TER, NH 038331140 PHONE: 8886783457 FAX: 6037734415 REIMBURSEMENT REQUEST FORM DEPENDENT
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How to fill out dep care flexrtf
How to fill out dep care flexrtf
01
Obtain the dep care flexrtf form from your employer or benefits administrator.
02
Fill out your personal information such as name, address, and employee ID.
03
Specify the dependent care expenses you expect to incur for the year.
04
Choose how much money you want to contribute to the dependent care flexrtf account.
05
Sign and date the form before submitting it to your employer for processing.
Who needs dep care flexrtf?
01
Employees who have dependent care expenses and want to save money on taxes by contributing pre-tax dollars to a dependent care flexrtf account.
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What is dep care flexrtf?
Dep care flexrtf stands for Dependent Care Flexible Spending Account. It is a pre-tax benefit account used to pay for eligible dependent care services, such as daycare, preschool, summer day camp, and before or after school programs.
Who is required to file dep care flexrtf?
Employees who have a Dependent Care Flexible Spending Account (FSA) through their employer are required to file dep care flexrtf.
How to fill out dep care flexrtf?
To fill out dep care flexrtf, employees need to provide information about their eligible dependent care expenses incurred during the plan year.
What is the purpose of dep care flexrtf?
The purpose of dep care flexrtf is to allow employees to set aside pre-tax dollars to pay for eligible dependent care services, reducing their taxable income and saving money on childcare expenses.
What information must be reported on dep care flexrtf?
Dep care flexrtf must report information such as the name and address of the dependent care provider, the amount paid for dependent care services, and the social security number or tax identification number of the provider.
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