REQUEST FOR REIMBURSEMENT FROM EMPLOYEE FLEXIBLE SPENDING ACCOUNT Please complete this form and attach appropriate receipts before submitting for reimbursement. EMPLOYER: Archdiocese of Louisville - FSA debit card - Document - PDFSEARCH.IO

First Page	Meta Content
	REQUEST FOR REIMBURSEMENT FROM EMPLOYEE FLEXIBLE SPENDING ACCOUNT Please complete this form and attach appropriate receipts before submitting for reimbursement. EMPLOYER: Archdiocese of Louisville Add to Reading List Document Date: 2012-01-25 16:21:15 Open Document File Size: 95,68 KB Share Result on Facebook Company ADMINISTRATIVE INFORMATION MANAGEMENT INC. / / / Organization FSA / / Position Physician / / SocialTag Reimbursement Income tax in the United States Business Debit cards Healthcare in the United States FSA debit card Employment compensation Taxation in the United States Flexible spending account

REQUEST FOR REIMBURSEMENT FROM EMPLOYEE FLEXIBLE SPENDING ACCOUNT Please complete this form and attach appropriate receipts before submitting for reimbursement. EMPLOYER: Archdiocese of LouisvilleAdd to Reading List