Form 6 mass transit form 2026

1. Click ‘Get Form’ to open the Mass Transit and Parking Expenses Reimbursement Claim Form in the editor.
2. Begin by filling out your Employee Information. Ensure you print clearly, including your name, Social Security Number, address, date of birth, employer details, and contact numbers.
3. If applicable, check the box indicating an address change. This ensures that your information is up-to-date.
4. In the Eligible Mass Transit and Parking Expenses section, list all out-of-pocket expenses that qualify for reimbursement. Include details such as the description of each expense, date incurred, total amount claimed, and attach copies of receipts.
5. Review the certification statement carefully. By signing this section, you confirm that all provided information is accurate and that expenses are not claimed under any other plan.
6. Finally, sign and date the form before submitting it via fax to PrimeFlex along with your receipts.

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