Limited-purpose Flexible Spending Account (LPFSA) – Clarity Kits

FSA & LPFSA Enrollment Form

FSA & LPFSA Enrollment Form SPANISH

FSA & LPFSA, DCA Enrollment Form

FSA & LPFSA, DCA Enrollment Form SPANISH

What is Limited-Purpose FSA?

Clarity Limited Purpose FSA – Participant

Clarity Limited Purpose FSA – Participant (SPANISH)

Limited Purpose FSA (English)

Limited Purpose FSA (Spanish)