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Flex Spending Account, A State employee benefit that puts money in your pocket
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NYS Flex Spending Account
2002 Forms


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HEALTH CARE SPENDING ACCOUNT FORMS
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  • Letter Of Medical Necessity Form
  • HCSA Reimbursement Request Form (PDF)
  • HCSA Reimbursement Request Form Instructions (PDF)
  • Personal Use Items/Special Foods Form


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    DEPENDENT CARE ADVANTAGE ACCOUNT FORMS
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  • NYS Network Child Care Centers Listing
  • DCAA Tax Calculator
  • DCAA Reimbursement Request Form (PDF)
  • DCAA Reimbursement Request Form Instructions (PDF)


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    OTHER FORMS
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  • Enter The RACE (Direct Deposit) Form (PDF)


  • This Page Last Updated: Friday, January 31, 2003 at 10:45:10 AM

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