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Business Services Guide

Form Sample - Transit Enrollment

Sample scenario:

Casey Commuter rides BART to work every day. After hearing about the transit benefit program offered through Employee Benefit Specialists (EBS), she decided to sign up. Casey estimates that her monthly cost is $130 so she types that dollar amount in the "Transit Reimbursement Account" field. After completing the EBS Flexible Spending Accounts Enrollment form, she submits it to Payroll for processing.