Adams Flexible Spending Account Claim Form; 1-User Web Downloaded (DLF523-SL)

Adams Flexible Spending Account Claim Form; 1-User Web Downloaded (DLF523-SL)

Item #: 1679690 | Model #: DLF523-SL
Adams Flexible Spending Account Claim Form; 1-User Web Downloaded (DLF523-SL)
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Product ID: 1679690
6.99 NewIn stock
$6.99
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Product details
Adams Online interactive forms let you instantly create high-quality legal documents tailored to your needs. They are powered by DirectLaw smart forms technology.

This interactive form may be used by an employee to file a claim for reimbursement from their Health or Dependent Care Flexible Spending Account (FSA), or Health Care Reimbursement Account (HRA).

  • Attorney-reviewed form valid for general use in every state
  • Click the secure link in your email from Staples to begin the interactive Q&A that creates your legal form
  • Online Guidance Notes offer additional information on signing, filing, and executing your documents
  • Download to save and print your customized PDF file
  • Step-by-step instructions included with your assembled form, help you to file or execute your documents correctly
  • Legal forms created by attorneys
  • This website provides legal forms only. We do not provide legal advice. Proper filing and service of documents and payment of related notary, court and filing fees are your responsibility. The legal documents offered from the web site are intended to be used within thirty (30) days from the time of purchase
  • Valid for every state
  • Easy-to-follow questionnaire
  • After completing your on-line questionnaire, document is instantly available
  • Download completed forms after online assembly
  • Web browser: Microsoft Internet Explorer 7.0 or higher , Mozilla Firefox , Google Chrome , Safari 6.0 and earlier , Android Standard Browser
  • Print as many copies as you need

This website provides legal forms only. We do not provide legal advice. Proper filing and service of documents and payment of related notary, court and filing fees are the responsibility of the purchaser. The legal documents offered from this website are intended to be used within thirty (30) days from the time of purchase.

Works with Microsoft Internet Explorer 7.0 or higher , Mozilla Firefox , Google Chrome, Safari 6.0 and earlier, and Android standard web browsers