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 Quick Forms 
Request for Reimbursement
This form is used to request reimbursement from your account and must be accompanied by proof of the expense that you are requesting the reimbursement for.
Employer Forms

This checklist is used when setting up any type of reimbursement plan.

Service Agreement
This form explains the terms of our agreement.
Information Checklist
This is the checklist of items we need to install any of the plans.
This form should be used for employees to make Elections and Election changes to their HRA and/or FSA plan.
Employee Forms
Employee Election Form
This form is used by the employees prior to the begining of each new plan year to elect the benefits the are participating in.
OTC LIST
This is a news release regarding Over The Counter Drugs.
Dependent Care Receipt
This form is used by an employee to show they incurred an eligible expense for Dependent Care.
Dependent Care Claim Form
This form is used to submit a Request for Reimbursement from your Dependent Care Account.
Eligible Expenses
This form shows examples of expenses eligible in a Section 125 Flex Plan.
Employee Account Access
This form gives instruction on how to access an employees account through the Client Login Button.
Qulified Transportation Change Form
This for allows an employee to make changes to their Qualified Transportation and Parking elections.
This form will allow an employee to make a change to their election if they have a qualifying event.
PHI Forms
Site Mailing List 
The Future of Employee Benefit Administration

Vantage Flex, LLC
2012 10th Street Ste 8
Menominee, MI 49858
Phone: (906) 863-3539
Email: bill@vantageflex.com
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