Flex Forms
Flex/HRA Forms

The following forms are available in Adobe Acrobat Portable Document Format (PDF). If you do not have Acrobat Reader installed on your system, you may download it by clicking on the "Get Acrobat Reader" icon.

Adobe Acrobat Reader

To print a form

  1. Select the desired form by clicking on the form title you desire.
  2. Once in Acrobat Reader, click on the printer icon.
  3. Click OK once you have selected the desired printer.

To save the form in Acrobat Reader format

  1. Select the desired form by clicking on the form title you desire.
  2. Select the floppy disk icon.
  3. Chose the destination directory and the file name that you want to save the file as.
  4. Click on the Save button.

Forms

Flexible Benefits Enrollment/Change Form

Flexible Benefits Plan Claim Form

Transportation Reimbursement Request Form

Flexible Benefits Direct Deposit Authorization Form

HRA Claim Form

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