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Claim for Reimbursement for Expenditures on Official
Claim for Reimbursement for Expenditures on Official Business. Current Revision Date: 11/2017. DOWNLOAD THIS FORM: Choose a link below to begin downloading.
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Reimbursement of Paid Medical Expenses Under 18
Individuals who request a determination of eligibility for reimbursement of paid medical bills must be sent the LDSS-3869: Notice of Decision on Reimbursement
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How to File a Health Care Reimbursement Account Claim
Although you have until April 15 to submit your claims, only expenses from the previous calendar year -- Jan. 1 through Dec. 31 -- are eligible for
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