Our Quick Access area allows our clients to rapidly access a form they may need in order to file a claim, gain information regarding a specific question or actually complete a claim form to be printed out and submitted to us.

Click on the appropriate form to complete, print and forward to us via fax or mail.  Please see “How to File a Claim” in the Education Section for instructions on filing a Reimbursement Request.

If you are having trouble downloading any of the forms from our site, you may need to download the newest version of Adobe Reader.


Participants

Cafeteria Plan Election Menu
Reimbursement Request Form
Dependent Care Certification Form
Direct Deposit Authorization Agreement (If Employer Approved)
Spending Account Worksheet