Flexsave claim form alberta 2026

1. Click ‘Get Form’ to open the flexsave claim form in our editor.
2. Begin by entering your COMPANY NAME and EMPLOYEE NAME in the designated fields at the top of the form.
3. Sign the form electronically by clicking on the SIGNATURE field, allowing you to create a digital signature effortlessly.
4. Fill in the DATE field to indicate when you are submitting the claim.
5. For each expense, provide details such as DATE OF SERVICE, EMPLOYEE/DEPENDENT name, DESCRIPTION OF EXPENSE (Health/Dental/Vision), and AMOUNT OF RECEIPT.
6. Calculate your Total Claims and include any applicable Administration Fees and GST. Ensure all calculations are accurate before finalizing.
7. Once completed, save your document and share it with your Plan Administrator for submission to HUB.

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