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Flex Spending Account, A State employee benefit that puts money in your pocket
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NYS Flex Spending Account 2008 Forms


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HEALTH CARE SPENDING ACCOUNT FORMS
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  • Letter Of Medical Need Form
  • HCSA Reimbursement Request Form and Instructions (PDF VERSION) (FILL-IN FORM VERSION)
  • Personal Use Items/Special Foods Form
  • Capital Expenditure Worksheet
  • HCSA Tax Calculator


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    DEPENDENT CARE ADVANTAGE ACCOUNT FORMS
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  • NYS Network Child Care Centers Listing
  • DCAA Tax Calculator
  • DCAA Reimbursement Request Form (PDF VERSION) (FILL-IN FORM VERSION)
  • DCAA Reimbursement Request Form Instructions (PDF VERSION)


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    OTHER FORMS
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  • Enter The RACE (Direct Deposit) Form (PDF VERSION)


  • This Page Last Updated: Tuesday, November 04, 2008 at 4:47:24 PM

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