Get Afes Section 125 Flexible Benefit Plan Expense Reimbursement Voucher 2011-2025

Filling out the AFES Section 125 Flexible Benefit Plan Expense Reimbursement Voucher online is a straightforward process that allows users to effectively submit their medical expense reimbursement requests. This guide provides clear instructions on navigating each section of the form to ensure accurate completion.

Follow the steps to efficiently fill out the voucher online.

1. Click ‘Get Form’ button to access the form and open it in your chosen editing format.
2. Enter your social security number in the designated field to identify your records.
3. Fill in your name as the employee, including your last name, first name, and middle initial.
4. Provide your mailing address accurately for any correspondence related to your submission.
5. Input your email address, allowing for electronic communication regarding your submission.
6. Check the box if you have a new address and indicate if you hold any other AF products.
7. Enter the name of your employer in the appropriate field.
8. Record the date of the expense to ensure it aligns with your reimbursement eligibility.
9. Add your daytime phone number for contact purposes, should any questions arise regarding your submission.
10. Provide the name of the person for whom the expense was incurred, ensuring accuracy to facilitate reimbursement.
11. If applicable, indicate whether the expense is eligible under state tax law if incurred for a dependent residing in Wisconsin.
12. Enter the total amount of the medical expense being claimed.
13. Ensure that all documentation is attached, detailing the date, type, and amount of each service rendered to support your claim.
14. Review all information entered for accuracy, ensuring that no fields are left incomplete.
15. Once complete, you can save your changes, download the finalized form, print it for your records, or share it as needed.

Complete your AFES Section 125 Flexible Benefit Plan Expense Reimbursement Voucher online today to ensure prompt processing of your reimbursable expenses.