PDF
Word
This version of the form is not currently in use and is provided for reference only. Download this version of
Form CMS-334 (IL401-1612)
for the current year.
Form CMS-334 (IL401-1612) Flexible Spending Accounts (FSA) Program Mcap Continuation Election Form - Illinois
What Is Form CMS-334 (IL401-1612)?
This is a legal form that was released by the Illinois Department of Central Management Services - a government authority operating within Illinois. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form CMS-334?
A: Form CMS-334 is the Mcap Continuation Election Form for the Flexible Spending Accounts (FSA) Program in Illinois.
Q: What is the purpose of Form CMS-334?
A: The purpose of Form CMS-334 is to elect to continue participation in the Mcap Flexible Spending Account (FSA) Program.
Q: Who should use Form CMS-334?
A: Form CMS-334 should be used by participants in the Mcap Flexible Spending Account (FSA) Program in Illinois who want to continue their participation.
Form Details:
- Released on May 1, 2017;
- The latest edition provided by the Illinois Department of Central Management Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form CMS-334 (IL401-1612) by clicking the link below or browse more documents and templates provided by the Illinois Department of Central Management Services.
