The Pennsylvania Reimbursed Medical Expense Form is a document used by individuals who need to claim an itemized deduction for medical expenses that were not reimbursed by insurance. This form is used to calculate and document medical expenses that qualify for the deduction and can be used for both federal and Pennsylvania state income tax returns. There are three different types of Pennsylvania Reimbursed Medical Expense Form: The PA-40 ME Form (for individuals), the PA-41 ME Form (for businesses and organizations), and the PA-20S/PA-65 ME Form (for self-employed individuals). All forms require the individual to provide detailed information about the medical expenses, such as the type of service, provider, date of service, and cost of service. In addition, the individual must also provide proof of payment, such as receipts, for the expenses.