The following PDF documents can be viewed in Adobe Reader. If you do not have a PDF viewer, click here for this free Adobe software product.
Listing files in 'Flexible Spending Account (FSA)'
2015 Health & Dependent Care Plan Document - uploaded on 11/25/2014 1:14 PM
Certification of Medical Necessity - uploaded on 3/4/2014 6:41 PM
EE Communication Carry Over - uploaded on 12/4/2017 9:22 AM
Flex Enrollment Form - uploaded on 12/4/2017 9:22 AM
FSA Reimbursement Form - uploaded on 11/14/2013 12:04 PM
Middletown FSA Plan Document - uploaded on 6/6/2018 8:04 AM
*Times are adjusted to the local time of the organization (GMT -5)