Healthcare & Dependent Care FSA (.pdf forms)
EBC_Flex_2011_Announcement.pdfFSA Enrollment FormFSA Enrollment Form/www.udmercy.edu/hr/benefits/flex/pdf/EBC_Flex_2011_Announcement.pdf92178FSA_Understanding_of_Agreements.pdfUnderstanding of AgreementUnderstanding of Agreement/www.udmercy.edu/hr/benefits/flex/pdf/FSA_Understanding_of_Agreements.pdf22280EBC_Summary_Plan_Description.pdfEBC Summary Plan DescriptionEBC Summary Plan Description/www.udmercy.edu/hr/benefits/flex/pdf/EBC_Summary_Plan_Description.pdf72527UDM_FSA_Debit_Card_FAQ.pdfEBC FAQ 2012EBC FAQ 2012/www.udmercy.edu/hr/benefits/flex/pdf/UDM_FSA_Debit_Card_FAQ.pdf77684EBC_FLEX_Online_Instructions.pdfOnline InstructionsOnline Instructions/www.udmercy.edu/hr/benefits/flex/pdf/EBC_FLEX_Online_Instructions.pdf25468FSA_Qualified_Expenses.pdfQualified Medical ExpensesQualified Medical Expenses/www.udmercy.edu/hr/benefits/flex/pdf/FSA_Qualified_Expenses.pdf31128EBC_Qualified_Daycare_Expenses_2011.pdfQualified Daycare ExpensesQualified Daycare Expenses/www.udmercy.edu/hr/benefits/flex/pdf/EBC_Qualified_Daycare_Expenses_2011.pdf30804EBC_Qualified_Elder_Care_Expenses_2011.pdfQualified Elder Care ExpensesQualified Elder Care Expenses/www.udmercy.edu/hr/benefits/flex/pdf/EBC_Qualified_Elder_Care_Expenses_2011.pdf30192EBC_FLEX_Medical_Claim_Form.pdfMedical Claim FormMedical Claim Form/www.udmercy.edu/hr/benefits/flex/pdf/EBC_FLEX_Medical_Claim_Form.pdf304895EBC_Dependent_Care_Claim_Form.pdfDependent Care Claim FormDependent Care Claim Form/www.udmercy.edu/hr/benefits/flex/pdf/EBC_Dependent_Care_Claim_Form.pdf308964Mileage_Claim_Form_2010.pdf2010 Generic Mileage Claim Form2010 Generic Mileage Claim Form/www.udmercy.edu/hr/benefits/flex/pdf/Mileage_Claim_Form_2010.pdf11502Generic_Mileage_Claim__July-Dec_2011.pdf2011 Mileage Claim Form2011 Mileage Claim Form/www.udmercy.edu/hr/benefits/flex/pdf/Generic_Mileage_Claim__July-Dec_2011.pdf24295/www.udmercy.edu/hr/benefits/flex/pdf/formsforms