GET FORMS
These word documents can be downloaded:

Form PR2: Annual Election Form Front
Form PR2b: Annual Election Form Back
Form PR3: Claims Reimbursement Form
Form PR3b: Claims Reimbursement Form Instructions
Form PR4: Request for Transportation Claim Reimbursement Form
Form PR5: Termination Form
Form PR6: Change of Election Form
Form WS1: Enrollment Worksheet 1 – Unreimbursed Healthcare
Form WS2: Enrollment Worksheet 2 – Child/Dependent Care
Form DDA: Direct Deposit Authorization
Form H: How Do You Benefit
Form P: Proof of Payment

Form PR2fsa: LPFSA Election Form
Form PR3fsa: LPFSA Claims Reimbursement Form
Form PR3bfsa: LPFSA Claims Reimbursement Form

Form PR3fsa: LPFSA Claims Reimbursement Form
Form PR3bfsa: LPFSA Claims Reimbursement Form Instructions

Form PR3: Claims Reimbursement Form
Form PR4: Request for Transportation Claim Reimbursement Form