DEPENDENT CARE FSA - FSA FEDS
https://fsafeds.com/public/pdf/FSAFEDS-DCFSA-Claim-Form.pdf?h=nxhjspkwdttc5a3nf69a8uss1nk7zi79kxmkzr3d6j38qt8f5dko
Web Result• File claim via fax or mail: Claim forms may also be filed either via fax or US Mail and sent to the following locations: Toll-free Fax: 866-643-2245, US Mail: FSAFEDS Program – Claims, P.O. Box 14127, Lexington, KY 40512-4127 • Claim processing time: Claims will be processed within 5 business days after receipt of the form.
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