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How to fill out the Ngs Flex Form online
This guide provides clear, step-by-step instructions for completing the Ngs Flex Form online. Whether you are seeking reimbursement for health care or dependent care expenses, this resource will support you through each section of the form.
Follow the steps to fill out the Ngs Flex Form accurately and efficiently.
- Press the ‘Get Form’ button to access the Ngs Flex Form and open it in your document editor.
- Complete the personal information section, including your name, Social Security number, address, city, state, zip code, and work telephone number.
- Indicate the type of expenses you are requesting reimbursement for by checking the appropriate box: either 'Health care expenses' (Sections A & B) or 'Dependent care expenses' (Sections A, B, and C).
- In Section A, list all expenses incurred. Ensure that you attach either an Explanation of Benefits (EOB) if the expense is covered by a medical plan or an itemized statement if it is not covered.
- If the reimbursement request is for dependent care expenses, provide the required receipts indicating the service dates and amounts charged.
- In Section B, if expenses are for a spouse or covered dependent, provide their names and birth dates, as well as their relationships to you.
- Complete Section C by providing the Federal Tax I.D. Number or Social Security Number of the dependent care provider.
- Read and review the certification statement carefully. By signing, you acknowledge that the expenses listed have not been reimbursed by any other plan and are eligible according to the applicable IRS rules.
- Sign and date the form at the bottom to confirm accuracy and completeness.
- Finally, save your changes, and if needed, download, print, or share the completed form as required.
Take action now and fill out your Ngs Flex Form online for reimbursement!
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