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You must submit verification of all unreimbursed medical and pharmacy expenses incurred during the last 12 months if they are expected to be an expense in the. You can deduct on Schedule A (Form 1040) only the part of your medical and dental expenses that is more than 7.INSTRUCTIONS: Use this worksheet if you are claiming payments to your or your relative's in-home attendant as an unreimbursed medical expense. Date of. Service. (oldest-first). 00 in unreimbursed medical expenses. Use this checklist to complete all necessary steps for reimbursement of medical and additional expenses. Date of. Service. (oldest-first). ❖ A Medical Insurance Verification form (inside) must be completed for EACH member that has unreimbursed medical expenses. Total amount actually paid in 2021 for unreimbursed medical dental. 1. To the best of my knowledge, my statements are complete and true.