Did you know you can prepare your claim forms online? Just log in to your account, complete the form, and attached your. No more filling out forms by hand!
Flexible Spending Accounts (FSA)
- Claim Form – Medical and Dependent Care Expenses
- Certification of Medical Necessity
- Certification of Dependent Care Expenses
- Certification of Orthodontic Expenses
Health Reimbursement Arrangements (HRA)
Qualified Transportation Plans (QTP)
Frequently Asked Questions
- Flexible Spending Accounts
- Health Reimbursement Arrangements
- Health Savings Accounts
- Qualified Transportation Plans
- mySourceCard™ Debit Card
Tax Savings Calculators
To view and print the forms, you need the Adobe Acrobat Reader installed on your computer. Adobe Acrobat Reader is free and can be run as an independent program or as a “plug-in” for most major web browsers to allow on-line viewing of PDF document.