Forms Library
Below you will find a complete listing of Flexible Spending Account, Healthcare Reimbursement Arrangement and Health Savings Account forms available for download as Adobe PDFs. These documents are meant to help you learn about and manage your Flexible Spending Account or Health Reimbursement Arrangement Plan.
Commuter Transit Parking
Expenses Under the Qualified Transit and Parking Expense Plans
Parking Expense Reimbursement Form
Parking Qualified Expenses Overview 2020 (Spanish)
Parking Qualified Expenses Overview 2020
Parking Qualified Expenses Overview No Max Amount
Transit Expense Reimbursement Form
Transit Qualified Expenses Overview 2020 (Spanish)
Dependent Care Flexible Spending Accounts (DCFSA)
Calculating Annual Elections Worksheet
Reimbursement Form (Spanish)
Eligible Medical Care Expenses
Eligible Medical Care Expenses 2020 (Spanish)
Debit Card
Flexible Spending Accounts (FSA)
Flexible Spending Accounts Debit Card FAQ
FSA and DCA Information Packet 2020
FSA and DCA Information Packet (No Debit Card)
FSA and DCA Information Packet (Spanish)
FSA and DCA Information Packet 2020 (No Rollover)
FSA and DCA Worksheets for Calculating Annual Elections
Reimbursement Form (Spanish)
Store Flyer (Spanish)
Health Saving Account (HSA)
HSA Store Flyer (Spanish)