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Qualifying Child and Relative Questionnaire

Use this form to help you decide if a dependent or relative qualifies for reimbursement from your flexible spending account or health savings account.

This information is provided for illustrative purposes only. Discovery cannot provide tax or legal advice. Consult with a professional advisor regarding your personal situation. This information assumes the employer?s plan defines dependents with reference to Code 152 (as amended). Future changes in the law may also apply.

Form Type: Reimbursement and Substantiation
Categories: General, HSA, HRA, FSA, Consultants

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