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How to fill out the WageWorks WW-COM-0907-PMB online
Filing your WageWorks Pay Me Back Claim Form (WW-COM-0907-PMB) online can be a straightforward process if you follow the right steps. This guide is designed to help you navigate the form efficiently and ensure that you provide all necessary information for a smooth reimbursement experience.
Follow the steps to successfully complete your Pay Me Back Claim Form.
- Press the ‘Get Form’ button to acquire the form and open it in your editing tool.
- Fill out the account holder information section at the top of the form. Ensure you provide your legal last name, first name, ID code (last 4 digits of your Social Security Number or employee number), zip code, employer or program sponsor's name, birth month and day (MM/DD), and your email address if it is a new entry.
- Review the certification and authorization section carefully. By signing, you confirm that the information provided is accurate, that you are requesting reimbursement for your own expenses, and that you have not sought reimbursement from any other plan.
- In the claims for out-of-pocket expenses section, indicate the type of expense (parking, vanpool, public transport) for which you are filing a claim. Provide the name of the parking facility or service provider, the benefit month (MM/YY), and the out-of-pocket cost for each claim entry.
- If applicable, check the box for 'No Receipt Provided' only if the service provider does not issue receipts. You may also indicate if you would like to use the remaining balance for your next commuter order.
- At the bottom of the form, total the amounts you are claiming and make sure this figure is accurate. Review all entries for completeness and correctness.
- Sign and date the form to validate your claim. Make sure to send a photocopy of each receipt attached to the form and keep the originals for your records.
- Submit the completed form by fax or mail to the appropriate address provided in the guidelines. Follow additional instructions if submitting by fax, such as not using a cover page.
Start filling out your WageWorks Pay Me Back Claim Form online today to ensure timely reimbursement.
To file a claim with WageWorks WW-COM-0907-PMB, you need to log into your account first. Follow the prompts to the claims section. Fill in the necessary information about your expenses, upload supporting documents, and submit your claim for prompt processing.
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