Forms
- Commuter Expense Account Claim Form (PDF)
- Change of Address Form (PDF)
- Flexible Spending Account Enrollment Form (PDF)
- Flexible Spending Account Direct Deposit Form (PDF)
- Health and Dependent Care Flexible Spending Account Claim Form (PDF)
- Status Change Form (PDF)
Send forms to:
Flexible Spending Accounts Administration & CERA
P.O. Box 67230
Portland, OR 97268-1230
503-765-3554 Fax
877-277-7279 Fax toll free
