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Direct Deposit Enrollment / Change / Cancellation Form - Flexible Spending Accounts (FSA) Program - New York City
Direct Deposit Enrollment/Change/Cancellation Form - Flexible Spending Accounts (FSA) Program is a legal document that was released by the New York City Office of Labor Relations - a government authority operating within New York City.
FAQ
Q: What is the Direct Deposit Enrollment/Change/Cancellation Form for?
A: The form is for the Flexible Spending Accounts (FSA) Program in New York City.
Q: What can I do with the form?
A: You can use the form to enroll, change, or cancel your direct deposit for the FSA Program.
Q: What is the FSA Program?
A: The FSA Program allows eligible employees to set aside pre-tax funds for eligible healthcare and dependent care expenses.
Q: How does direct deposit work in the FSA Program?
A: Direct deposit allows the reimbursement funds for your FSA expenses to be deposited directly into your bank account.
Q: Can I enroll, change, or cancel my direct deposit through this form?
A: Yes, this form allows you to do all three: enroll, change, or cancel your direct deposit.
Q: Are there any eligibility requirements for participating in the FSA Program?
A: Yes, eligibility for the FSA Program is determined by your employer. You should consult with your employer or Human Resources department to determine if you are eligible.
Q: What types of expenses are eligible for reimbursement through the FSA Program?
A: The FSA Program allows reimbursement for eligible healthcare and dependent care expenses. Eligible healthcare expenses may include medical, dental, and vision expenses. Eligible dependent care expenses may include childcare, preschool, and eldercare expenses.
Q: Can I change my direct deposit information at any time?
A: Yes, you can change your direct deposit information at any time by submitting this form to your employer's Human Resources department.
Q: Can I cancel my direct deposit at any time?
A: Yes, you can cancel your direct deposit at any time by submitting this form to your employer's Human Resources department.
Form Details:
- Released on October 7, 2022;
- The latest edition currently provided by the New York City Office of Labor Relations;
- Ready to use and print;
- Easy to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the New York City Office of Labor Relations.
