Flexible Spending

Flexible Spending Documents and Forms

Get help using 'Flexible Spending Documents and Forms'

  • Flexible Spending Forms

    2024 FSA and DCA Enrollment Form
    Required
    5. Payflex FSA Enrollment Form.pdf
    Payflex Mobile App FAQ
    Required
    PayFlex Mobile App FAQ.pdf
    Payflex FSA Claim Form
    Required
    FSA Claim Form.pdf
    While focused on a reorder icon, press the Enter key or spacebar to "select" the icon. While a reorder icon is selected, pressing the up and down arrows will change the order of the selected item within the list. Pressing Enter key or spacebar again will drop the selected item at that location in the list.
While focused on a reorder icon, press the Enter key or spacebar to "select" the icon. While a reorder icon is selected, pressing the up and down arrows will change the order of the selected item within the list. Pressing Enter key or spacebar again will drop the selected item at that location in the list.