Get Siho Flex

This guide provides a clear and supportive approach to completing the Siho Flex online form. By following the detailed instructions, users of all experience levels can navigate the process confidently and accurately.

Follow the steps to successfully complete the Siho Flex online form.

1. Press the ‘Get Form’ button to access the Siho Flex form and open it in the available online editor.
2. In Section A – Employee Information, provide your employer's name, your last name, first name, and middle initial. Enter your social security number, address, city, state, and zip code. Additionally, include your email address and a daytime phone number; entering the last four digits of your phone number is sufficient.
3. For Section B – Expenses to Be Submitted, if you are submitting a Flex Debit Card receipt, check the 'Debit Card Receipt' box and enter the amount in the 'Net Amount' column. Ensure to attach supporting documentation from your service provider that details the services offered, including the date(s) of service and amount paid.
4. Select the appropriate 'Expense Type' from the options provided: Debit Card Receipt, Health Care, or Day Care. Fill in the 'Name of Service Provider' and provide a brief description of the expense in the 'Expense Description' field.
5. Indicate for whom the expense was incurred by selecting from options such as spouse, child, or tax dependent. If applicable, provide the 'Non-Qualified Amount' for Debit Card receipts only, and record the 'Net Amount'.
6. In the 'Date of Service' section, specify the date range for the services received by entering the 'From' and 'To' dates. Include the total amount of the expense if you are seeking reimbursement.
7. For Day Care Claims, attach a receipt from your day care provider, or have the provider sign the designated area.
8. In Section C - Employee Certification, read carefully the statements regarding the expenses and ensure you understand the implications. Sign and date the form in the provided fields, as unsigned claims will be denied.
9. Once all information is complete, save your changes, and choose to download, print, or share the completed form as necessary.

Complete your documents online to ensure a smooth submission process.