This version of the form is not currently in use and is provided for reference only. Download this version of the document for the current year.
Election Change Form - Flexible Spending Account is a legal document that was released by the Delaware Department of Human Resources - a government authority operating within Delaware.
Q: What is the Election Change Form?
A: The Election Change Form is a document used to make changes to your Flexible Spending Account (FSA) elections.
Q: What is a Flexible Spending Account (FSA)?
A: A Flexible Spending Account (FSA) is a benefit provided by employers that allows employees to set aside pre-tax dollars to pay for eligible medical expenses.
Q: How do I use the Election Change Form?
A: You can use the Election Change Form to make changes to your FSA elections, such as adjusting the amount of money you contribute or changing your benefit coverage.
Q: Why would I need to use the Election Change Form?
A: You may need to use the Election Change Form if you experience a qualified life event, such as getting married or having a child, that would require you to make changes to your FSA elections.
Q: Are there any deadlines for submitting the Election Change Form?
A: There may be deadlines for submitting the Election Change Form, so make sure to check with your employer or FSA administrator to find out the specific timeline for making changes to your FSA elections.
Form Details:
Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Delaware Department of Human Resources.