Forms & Resources
This is where you’ll find our plan forms and documents.
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Dependent Care Verification Form
This form is to be completed by your provider after dependent care expenses have been incurred and should be used in place of dependent care documentation.
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Recurring Dependent Care Request Form
This form is to be completed each plan year and as changes occur when you want to receive recurring reimbursement of dependent care expenses.
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Flexible Spending Account (FSA) Claim Reimbursement Request Form
Submit a claim on your Chard Snyder online account or on the Chard Snyder Mobile App.
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Your Health Reimbursement Arrangement Reference Guide
A more comprehensive set of information about your health reimbursement arrangement
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Commuter Benefits Claim Reimbursement Request Form
Submit a claim on your Chard Snyder online account or on the Chard Snyder Mobile App.
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Health Reimbursement Arrangement (HRA) Claim Form
Submit a claim on your Chard Snyder online account or on the Chard Snyder Mobile App.
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Commuter Benefits Reference Guide
Get all the details for using your Commuter benefits plan to your best advantage.
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Letter of Medical Necessity Form
A letter of medical necessity (LMN) is a letter written by your doctor that verifies the services or items you are purchasing are for the diagnosis, treatment or prevention of a disease or medical condition.
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Submitting Claims & Documentation Online
Submitting claims and benefit card purchase supporting documentation online via the Chard Snyder portal or mobile app provides the most security and the quickest processing time for your reimbursements.
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LSA Claim Form
Form for submitting LSA claims