Flexible
Spending Accounts SPD
Flexible Spending Information
Flexible Spending Forms
- Flexible
Spending Claim Form
This form should be completed to receive reimbursement for Flexible
Spending expenses. This form may be faxed or mailed to
P&A Group at the number and address listed at the bottom of the
form. - Direct
Deposit Form (Flexible Spending)
This form should be completed if you would like your Flexible
Spending reimbursement to be directly deposited into a bank
account. This form should be submitted directly to P&A
Group at the address listed on the bottom of the form. - Request
for Additional Debit Card
This form should be completed if you would like an additional debit
card for other family members, or if you have lost your Flex debit
card. This form should be submitted directly to P&A Group
at the address listed on the bottom of the form.