About Your Plan Your Account Eligible Expenses Calculate Tax Savings FAQs Forms Contact Welcome

Forms

For your convenience, we’ve posted some forms that you may need in your day-to-day transactions with us. If your browser is set up to use Acrobat Reader, simply click on one of the links below to download a copy of the form.

• Dependent Care Claim Form
  
• Health Care Claim Form
  
• Direct Deposit Authorization Form
  
• Spousal Debit Card Request Form

Resources

Below you will find plan guides and handouts to help you make the most of your account.

• 2010 CVS Flexible Spending Account Program Guide
• 2010 CVS Flexible Spending Account Program Guide - California
• Health Care Reform
• IIAS Debit Card Receipt Handout
• IIAS Participating Merchant List

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