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WAYNE COUNTY SHERIFF YOUTH & SENIOR EDUCATION FUND Benny N. Napoleon, Sheriff Benny N. Napoleon President Louis James Vice President James Erna SecretaryTreasurer Event Committee Robert Chappell Tom

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How to fill out Benny N:

1. Start by gathering all the necessary information required for filling out the Benny N form. This may include personal details such as name, address, social security number, and employment information.
2. Carefully read the instructions provided with the Benny N form. Familiarize yourself with the purpose of the form and the specific sections that need to be completed.
3. Begin filling out the form by providing your personal information in the designated fields. Make sure to double-check the accuracy of the information before moving on to the next section.
4. If applicable, provide the necessary details regarding your spouse and dependents. This may include their names, dates of birth, and social security numbers.
5. Proceed to the section that requires information about your employer's flexible spending account (FSA) plan. Fill in the necessary details, such as the plan administrator's contact information and the dates covered by the plan.
6. If you have incurred any qualified medical or dependent care expenses during the coverage period, ensure to accurately report these expenses on the form. Include the amounts paid and provide any supporting documentation if required.
7. After completing all the relevant sections of the Benny N form, carefully review all the information provided. Make any necessary corrections or additions before finalizing the form.
8. Sign and date the form as required. This confirms that the information provided is accurate to the best of your knowledge.

Who needs Benny N:

1. Employees who are enrolled in an employer-sponsored FSA benefit plan may need to fill out the Benny N form. This form is generally used to request reimbursement for eligible medical or dependent care expenses incurred during the coverage period.
2. Individuals who have incurred out-of-pocket medical expenses or have paid for dependent care services may require Benny N to receive reimbursement from their FSA.
3. It is important to note that Benny N is not applicable to every individual. Only those who are actively participating in an FSA plan should be concerned with filling out this form.

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