FSA Claim Instructions

General Instructions

Complete all information requested on the claim form or online.

Attach supporting documentation. Substantiation must accompany the claim in order to be considered for reimbursement. Be sure to keep copies of receipts, bills, etc. for your records. Originals will not be returned. All substantiation must include the following items to be eligible for reimbursement:

Dependent daycare requests do not require a receipt if the provider signs the claim form.  The day care provider also needs to provide their social security number, tax ID number or address.


Submitting a paper claim form

FAX: 513-459-9947 or 1-888-245-8452

EMAIL: This e-mail address is being protected from spambots. You need JavaScript enabled to view it (can be .pdf format or scanned attachments)

MAIL: Chard Snyder, 3510 Irwin Simpson Road, Mason, OH  45040


Submitting an online claim


Submitting a Claim Using the Mobile App

You can also use the Chard Snyder mobile app to submit healthcare claims from your iPhone®, Android® or tablet device. Download  the Chard Snyder mobile app in your app store, then you can log in and use the app to submit claim information and upload receipts using the camera on your device.


Submitting a claim by email

Tip:  Your complete email file, with attachments, may not exceed 7 MB in size. You may send more than one email.


Important Reminders


* Adobe Reader is required to view and download forms.




FSA Infomation Video

FSA Eligible Expenses and Items