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Get WW-HRA-RT-PMB 2010

INSTRUCTIONS (Do NOT FAX these instructions with your 1 Claim) PLEASE READ THIS BEFORE SUBMITTING YOUR RETIREE CLAIM FORM The IRS requires you to substantiate all your claims with appropriate level of documentation in order to be reimbursed. Documentation in total must show that an eligible health care expense has been incurred by you or your eligible dependent. The documentation must show at a minimum a) the date of coverage or expense b) the individual covered by health coverage or the indiv.

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