Get Wageworks Moneyplus Claim Form 2016-2025
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the WageWorks MoneyPlus Claim Form online
Filling out the WageWorks MoneyPlus Claim Form online is an essential process for users seeking reimbursement for eligible expenses. This guide will provide step-by-step instructions to help you complete the form accurately and efficiently.
Follow the steps to successfully complete your claim form.
- Click ‘Get Form’ button to access the WageWorks MoneyPlus Claim Form and view it in your preferred editor.
- In the Personal Data section, fill in your name, home phone number, street address, city, state, and zip code accurately. Ensure you use black ink only.
- Provide your Social Security or Employee ID number, along with your employer’s name and your daytime phone number. If your address has changed, check the designated box.
- Review the certification statements carefully. By signing the form, you confirm your understanding and agreement to the conditions outlined.
- In the Payment Type section, mark the appropriate boxes to indicate how you are claiming your expenses, whether it's using the payment card or requesting payment for out-of-pocket expenses. Enter the amounts clearly.
- Complete the Medical FSA section with details of the medical expenses, including the service date, the name and relationship of the person receiving the service, and the provider of the services.
- For the Dependent Care FSA section, provide similar details as in the Medical FSA section, ensuring that all required information is filled out correctly.
- Double-check all entered information for accuracy. After confirming that you’ve completed all sections, save your changes. You may also choose to download, print, or share the form as needed.
Start completing your WageWorks MoneyPlus Claim Form online today to ensure timely reimbursement for your eligible expenses.
Reimbursement from WageWorks typically takes about 5 to 7 business days after submitting your WageWorks MoneyPlus Claim Form. However, this may vary depending on your specific plan and the processing time required. To ensure a smooth process, always provide complete and accurate information in your claim. If you have additional questions, our platform can guide you through the reimbursement process.
Industry-leading security and compliance
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.