FORMS
Flexible Spending Account Forms
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2025 Flexible Spending Account (FSA) Debit Card Substantiation/Claim Form
debit-card-substantiation_hisd_zh_11.17.2024-AGB6ExgGelc28X0V.pdf 572.78 KB (Last Modified on January 13, 2025)
Prescription Drug Program Forms
Dental Plan Forms
Vision Plan Forms
Aflac
Disabled Dependents
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Disabled Dependent Child Certification Form
Disabled Dependent Child Certification UHC Form 4-2023 Version - PDF Fillable recd 08-19-2024.pdf 294.9 KB (Last Modified on January 9, 2025)