Office of
Human Resources

Flex Spending Account Reimbursement Request Form



Flexible Spending Accounts are an optional benefit available for all Andrews University employees working a minimum of 20 hours per week. Further information is available on the Flexible Spending Accounts page. In order to open and print the form, you will need Adobe Acrobat Reader. If you do not have Acrobat installed on your computer, you can download it from the Adobe website .
Office of Human Resources