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forms

Enrollment Form
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FSA Enrollment Kit
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Claim Form
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Substantiation Request Form

Direct Deposit Form

HRA Participation Agreement

HRA Activation Form

CRA Change Form

New Client Application

 

Guides

How to use your AmeriFlex Convenience Card®

AmeriFlex Convenience Card® Online Instructions

Eligible Expenses

POP Quick Reference Guide
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FSA Quick Reference Guide
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CRA Quick Reference Guide

HSA Quick Reference Guide

 

Service

Employer Request for Service

Employee Request for Service