These downloads are information and forms to be filled out in order to participate in the FSA plan. Some of these documents are also information on what an FSA plan consists of and how to use it. The two marked with an asterisk (disclosure and enrollment form) are required. Please contact Sheldon if you have questions.

advantage of FSA (pdf, 289.6 KB)
Expalians some of the advantages of participating in FSA

Summary of FSA (pdf, 40.9 KB)

Guide to FSA (pdf, 28.2 KB)

Enrollment form (pdf, 359.1 KB)
Required form to be filled out and sent to the Home Office is participating in FSA

Enrollment instructions (pdf, 91.1 KB)
instructions on how to enroll online

FSA disclosure form (pdf, 4.9 KB)
required by all staff to indicate that they have had the oportunity to participate in FSA and either declined or accepted.

FAQ (pdf, 128.4 KB)
frequently asked questions

FAQ 2 (pdf, 64.9 KB)
more frequently asked questions

eligible expenses (pdf, 994.1 KB)
a partial listing of expenses that or allowed and those which are not allowed

transportation expense (pdf, 37.1 KB)
explains what is a qualified transportation expense

dependant care (pdf, 36.5 KB)
explains what is a qualified dependant care expense

insurance premium (pdf, 47.5 KB)
explains what a non-employer sponsored insurance premium is

reimbursement form (pdf, 616.9 KB)
accepted form for reimbursement through FSA

direct deposit (pdf, 85.0 KB)
requied form to have claims direct deposited

dependant claim card form (pdf, 948.6 KB)
application for a dependant claim card

claim card form (pdf, 132.4 KB)
application to receive a claim card

calculate participation level (pdf, 348.7 KB)
a brief explaination to assist in determining how much to put into your FSA plan

claim card (pdf, 86.9 KB)
explains what a claim card is

use it or lose (pdf, 74.9 KB)
disclaimer that you must use the funds by end of plan year or lose them.