Please click on the links below for the required forms and information for reimbursement:


Participant Data Form

Premium Reimbursement Form

Medical Reimbursement Form

Direct Deposit Form

IRS Publication 502


You may submit your electronic copies to the Trust Office via the secure portal below; or you may mail, e-mail or fax your documents into our office at any time. Please visit the “Contact Us” tab for a list of addresses and contact numbers.