Operating engineers local 15 2026

1. Click ‘Get Form’ to open the operating engineers local 15 Medical Reimbursement Account Request Form in the editor.
2. Begin by filling out the Participant Information section. Enter your name, home phone, cell number, medical ID number, registration number, and email address. Ensure all fields are completed to avoid delays in processing.
3. In the Expenses section, list each expense incurred along with the date(s) and type of service. Use the provided code types for clarity: Medical, Dental, Optical, etc.
4. Attach receipts for each claim and ensure they correspond to IRS eligible expenses as outlined on the form. This is crucial for reimbursement approval.
5. Complete the Participant Certification at the bottom of the form by signing and dating it. This certifies that your claims are valid and have not been reimbursed elsewhere.

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