Q: Where do I get a claim form?
A:
ASIFlex will mail you a claim form after they receive your enrollment information. Additional forms are available by clicking
here. You may copy the claim form or request more from ASIFlex.
Q: Do I have to send anything with a claim form?
A:
Submit receipts for the month or week and a signed reimbursement claim form to ASIFlex. You may include both parking and transit expenses on the same reimbursement claim form if you are enrolled in both programs.
Q: How do I submit claims?
A:
Claims and receipts may be sent to ASIFlex via U.S. Mail or faxed toll-free to (877)
879-9038.
Q: What documentation must accompany my claim in order to
receive reimbursement?
A:
Federal Regulations require you to provide a written statement from the provider of the service that supports your claim if the provider provides receipts or other documentation in the ordinary course of its business. If the provider does not provide receipts or other documentation, explain the situation in the column labeled "Attach proof of expense or explain why it is not available in the ordinary course of business." If the provider normally provides documentation such as receipts you must provide a copy with your claim.
The documentation must show:
-
The name provider;
-
The date or range of dates of parking, travel, or payment. You may not claim expenses for more than one month on one line;
-
A description of the service provided (for example, "April 2010 parking" or "May 2010 bus fare"); and
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The cost of the service or the amount paid.
Follow the link to learn more about:
Health Care Flexible Spending Account
Dependent Care Flexible Spending Account
Pre-Tax Commuter Benefits Program
Health Reimbursement Arrangement
Limited Purpose Flexible Spending
Account