Medical Expense Frm Independent 12-13-90333 - Villanova University 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your name in the designated field labeled 'STUDENT’S NAME'.
3. Next, input your Villanova University number in the corresponding section. This is an 8-digit number that identifies you within the university system.
4. In Section 1, indicate the total amount paid for medical and dental expenses in 2011. Remember to exclude any amounts covered by insurance or other reimbursement accounts.
5. For Section 2, specify how these expenses were financed—whether through income, savings, or other sources—and provide approximate amounts for each source.
6. Finally, ensure you sign and date the form. If applicable, have your spouse sign as well before submitting it along with any required documentation.

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