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PARTICIPANT INFORMATION LOGIN CENTER |
Online Participant Info Center This flyer will provide you with the information and instructions you need to take full advantage of this online tool. Reimbursement Claim Form FOR PRINTING A BLANK FORM . Print this form, complete it in full and mail or fax it, along with your receipts, to LFS Benefit Services. ALWAYS COMPLETE THE LAST FOUR DIGITS OF YOUR SSN AND SIGN YOUR FORM BEFORE SUBMITTING. Reimbursement Claim Form FOR ELECTRONIC COMPLETION. Complete this form online, print and sign it, then mail, email or fax it, along with your receipts, to LFS Benefit Services. ALWAYS COMPLETE THE LAST FOUR DIGITS OF YOUR SSN AND SIGN YOUR FORM BEFORE SUBMITTING. Over-the-Counter Items For Reimbursement To make it easier to answer your questions regarding the reimbursability of common Over-the-Counter (OTC) items, LFS has prepared the this helpful guide. Dependent Care Authorization Form Print this form, complete it in full and mail or fax it to LFS Benefit Services. Dependent Care Reimbursement participants must complete and submit a new form each time that your primary dependent care provider changes. Enrollment Information Booklet Print out this Enrollment Information Booklet to provide you with all the information you need to know about your Choice Account Reimbursement Plan. |