Form CMS-334 (IL401-1612) Flexible Spending Accounts (FSA) Program Mcap Continuation Election Form - Illinois

Form CMS-334 (IL401-1612) Flexible Spending Accounts (FSA) Program Mcap Continuation Election Form - Illinois

What Is Form CMS-334 (IL401-1612)?

This is a legal form that was released by the Illinois Department of Central Management Services - a government authority operating within Illinois. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on August 1, 2020;
  • The latest edition provided by the Illinois Department of Central Management Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Download a fillable version of Form CMS-334 (IL401-1612) by clicking the link below or browse more documents and templates provided by the Illinois Department of Central Management Services.

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Download Form CMS-334 (IL401-1612) Flexible Spending Accounts (FSA) Program Mcap Continuation Election Form - Illinois

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  • Form CMS-334 (IL401-1612) Flexible Spending Accounts (FSA) Program Mcap Continuation Election Form - Illinois, Page 1
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