At Beneflex Inc., we are anxious to earn your business each and every day. If we can be of service to you, please call us toll free at 800-925-4087. We have placed a variety of forms below for your convenience.The following forms require Acrobat Reader. Download it for FREE by clicking on the following image. New Rules Make Losing Money Almost Impossible EMPLOYEE DEPENDENT CARE  FSA FORMS Application Form Your Questions Answered Brochure Summary Plan Description Change in Status Form Daycare Reimbursement Form Electronic Transfer Bank Form IRS Publication 503 IRS Form 2441 EMPLOYEE MEDICAL FSA FORMS Application Form MedFSA Medical Reimbursement Form FSA Employee Brochure Medical Expense Worksheet Eligible Expense List Summary Plan Description Family Medical Leave of Absence Form Treasury Publication 502   PARKING & TRANSPORTATION FORMS Application Form Request for Reimbursement Form EMPLOYEE HRA FORMS Application Form HRA Reimbursement Claim Form