Hra ford 2026

1. Click ‘Get Form’ to open the hra ford in the editor.
2. Begin by filling out the Account Holder Information section. Enter the Ford Retiree's first and last name, Social Security Number (last 4 digits), and birth date.
3. In Section 1, if you are requesting reimbursement for Medicare premiums, enter the Service Start and End Dates, along with the annual amount of your Medicare expenses. Attach necessary documentation like your Social Security Cost of Living Statement.
4. For Section 2, complete it if you have health care premiums not deducted from your Social Security Check. Provide documentation such as a statement from your insurance carrier or a cleared check.
5. In Section 3, list any other eligible expenses. Ensure you attach receipts showing the date of service and amounts. You can combine multiple small expenses into one entry.
6. Finally, sign and date the form to certify that all information is accurate before submitting it through our platform.

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