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City of Burlington Flex Enrollment Form For the Plan Year: January 1, 2020, to December 31, 2020Name: ___Social Security Number: ___Street Address: ___ City, State and Zip: ___ I authorize my employer

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How to fill out city of burlington flex

01

Visit the City of Burlington website.

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Navigate to the forms section and look for the City of Burlington Flex form.

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Fill out all the required fields on the form, including your personal information and any requested details.

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Who needs city of burlington flex?

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Residents of the City of Burlington who are requesting flexible services or accommodations.

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What is city of burlington flex?

City of Burlington Flex is a flexible spending account (FSA) program for employees of the city of Burlington.

Who is required to file city of burlington flex?

All employees of the city of Burlington who wish to participate in the FSA program are required to file city of burlington flex.

How to fill out city of burlington flex?

City of Burlington Flex can be filled out online through the employee portal or by submitting a paper form to the HR department.

What is the purpose of city of burlington flex?

The purpose of city of burlington flex is to allow employees to set aside pre-tax dollars for eligible medical and dependent care expenses.

What information must be reported on city of burlington flex?

Employees must report their desired contribution amount, eligible expenses incurred, and any reimbursement requests.

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