Download a printer-friendly Health Care Flexible Spending Account worksheet in PDF format to help you calculate expenses. Download the Health Care Flexible Spending Account enrollment form. Download a printer-friendly Dependent Care Flexible Spending Account worksheet in PDF format to help you calculate expenses. Download the Dependent Care Flexible Spending Account enrollment form. Download the Flexible Spending Account enrollment form .
All downloadable forms are in printer-friendly PDF format.
If Acrobat reader is not loaded on your computer, you may download this free software to view and print the form in PDF format. For more information on the program and its benefits and restrictions, please refer to your Benefits Overview Booklet or contact the Office of Human Resources Customer Service Center .