Tax and Salary Savings – EMACS

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Tax and Salary Savings

Tax and Salary Savings

Medical Expense Reimbursement Plan (FSA)

Type	Name
	FSA Enrollment
	FSA Letter of Medical Necessity
	FSA Reimbursement Claim

Type	Name
	FSA

Type	Name
	EBSD Internet Website
	FSA Plan Document

Dependent Care Assistance Plan (DCAP)

Type	Name
	DCAP Enrollment
	DCAP Reimbursement Request

Type	Name
	DCAP

Type	Name
	DCAP Plan Document
	EBSD Internet Website

Commuter Services

Type	Name
	Bike to Work Expense Reimbursement
	Bike Locker Application
	Carpool Parking Permit
	DMV Driver Record Release Authorization
	Hybrid Vehicle Carpool Application
	Rideshare Start-Up Incentive Claim
	Transit Pass Application
	Vanpool Application

Type	Name
	EBSD: Commuter Services Website

Salary Savings

Type	Name
	401 (k) Defined Contribution Change Form
	457 (b) Deferred Compensation Information Change Form
	457(b) Deferred Compensation Enrollment
	457(b) Deferred Compensation Automatic Enrollment Declination Form
	Beneficiary Designation for VOYA
	Part-time, Seasonal, Temporary (PST) Deferred Compensation Plan Participation Agreement
	Withdrawal And Transfer Request For Purchase Of Governmental Defined Benefit Plan Service Credit

Type	Name
	401(k) and 457(b) Deferred Compensation Plans
	PST Deferred Compensation Plan Participant Agreement

Type	Name
	401(k) Plan Document
	457(b) Plan Document