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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 2004 Forms

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HEALTH CARE SPENDING ACCOUNT FORMS
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  • Letter Of Medical Need Form
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  • HCSA Reimbursement Request Form and Instructions (PDF)
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  • Personal Use Items/Special Foods Form
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  • HCSA Tax Calculator
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    DEPENDENT CARE ADVANTAGE ACCOUNT FORMS
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  • NYS Network Child Care Centers Listing
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  • DCAA Tax Calculator
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  • DCAA Reimbursement Request Form (PDF)
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  • DCAA Reimbursement Request Form Instructions (PDF)
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    OTHER FORMS
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  • Enter The RACE (Direct Deposit) Form (PDF)
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    This Page Last Updated: Thursday, December 09, 2004 at 7:08:20 PM
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