Forms: File Claims for FSA and Dependent Care FSA

Updated on April 30th, 2024

If you need to file paper claim forms for your Flexible Spending Account or your Dependent Care FSA, they can be found here on this sheet. 

  • Please fill these out accordingly and submit them to the desired location at Benefits Planning Consultants(BPC). 
  • Please allow for a couple week turnaround time to have your claims reviewed and processed. 

Should you have questions about the process or your claims, please contact Chard Snyder at 800-982-7715 or askpenny@chard-snyder.com.

 

Forms: 

FSA Reimbursement Claim Form