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Please fax completed form to benefits at: 3144287798 flexible SPENDING ACCOUNT ENROLLMENT FORM3144329705APPLICANT INFORMATION EMPLOYEE NAME (LAST, FIRST, MIDDLE INITIAL)STREET ADDRESSCITYHOME PHENOTYPE New
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How to fill out drury fsa election formxls

01
Download the Drury FSA Election Formxls from the official website.
02
Fill out your personal information including name, address, and social security number.
03
Indicate your election choices for each eligible benefit option provided.
04
Sign and date the form before submitting it to the designated HR department.
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Make sure all information is accurate and complete to avoid any delays in processing.

Who needs drury fsa election formxls?

01
Employees of Drury University who are eligible for flexible spending account benefits.
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Drury FSA election formxls is a form used by employees to elect their Flexible Spending Account (FSA) contribution amounts.
Employees who wish to participate in a Flexible Spending Account (FSA) are required to file the drury fsa election formxls.
To fill out the drury fsa election formxls, employees must indicate their desired contribution amounts for their Flexible Spending Account (FSA) and provide any required personal information.
The purpose of the drury fsa election formxls is to allow employees to designate their Flexible Spending Account (FSA) contribution amounts for the upcoming plan year.
Employees must report their desired contribution amounts for their Flexible Spending Account (FSA) and provide any necessary personal information such as name and employee ID.
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