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Get Mayo Clinic Flex Spending Account Setup Form
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How to fill out the Mayo Clinic Flex Spending Account Setup Form online
Completing the Mayo Clinic Flex Spending Account Setup Form online can streamline the process of managing your health care expenses. This guide provides clear, step-by-step instructions to help you fill out the form accurately and efficiently.
Follow the steps to successfully complete the form.
- Press the ‘Get Form’ button to access the form and open it in your preferred digital platform.
- Fill in Section I with your last name, first name, middle initial, and Mayo Employee ID number. Provide your birth date, home address, work phone, home phone, and the last four digits of your Social Security number.
- In Section II, specify the service date, description of eligible expenses, the name and relationship of the individual receiving care, the total amount of bills, and the amount paid by any other plans. Calculate the total amount requested for reimbursement.
- Complete Section III by entering the amount to be reimbursed. Sign and date the certification statement to confirm the accuracy of your submission and compliance with the requirements.
- Once all fields are completed, review your entries for accuracy. You can save changes, download the document, print it out to send physically, or share it online as necessary.
Start completing your Mayo Clinic Flex Spending Account Setup Form online today!
Simply log in to your FSAFEDS online account at any time to manage all aspects of your Health Care FSA: Check account balances. Submit claims and view claims status. Look up eligible expenses. Select your reimbursement methods (by check or direct deposit) Choose to receive account alerts by email or text.
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