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OPM Form 4120-FEDS Letter of Medical Necessity - the Federal Flexible Spending Account Program (Fsafeds)
What Is OPM Form 4120-FEDS?
This is a legal form that was released by the U.S. Office of Personnel Management on July 1, 2016 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is OPM Form 4120-FEDS?
A: OPM Form 4120-FEDS is a form used for the Federal Flexible Spending Account Program (FSAFEDS).
Q: What is the purpose of OPM Form 4120-FEDS?
A: OPM Form 4120-FEDS is used to provide a Letter of Medical Necessity for expenses eligible under FSAFEDS.
Q: What is the Federal Flexible Spending Account Program (FSAFEDS)?
A: FSAFEDS is a program that allows federal employees to set aside pre-tax money for eligible healthcare and dependent care expenses.
Form Details:
- Released on July 1, 2016;
- The latest available edition released by the U.S. Office of Personnel Management;
- Easy to use and ready to print;
- Yours to fill out and keep for your records;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of OPM Form 4120-FEDS by clicking the link below or browse more documents and templates provided by the U.S. Office of Personnel Management.
