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WWW.wexinc.com 8664513399 8664513245 PO Box 2926 Fargo, ND 581082926 forms@wexhealth.comMedical Necessity Forms form is to be completed when submitting dual-purpose expenses. Per IRS regulations,

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How to fill out thebenefitsonlineorgformswexclaimclaim form - formbenefitsonlineorg

01

Visit the website formbenefitsonline.org

02

Look for the W-Ex Claim form

03

Fill out personal information such as name, address, and social security number

04

Provide details of the benefits you are claiming

05

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Individuals who are claiming benefits through the W-Ex Claim program

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