Flexible Spending Account (FSA) Guide

Identification

• Title: Flexible Spending Account (FSA) Guide
• Expanded Number: FORM/001106
• Date Created: Monday, March 20, 2023 at 10:18 AM
• Date Registered: Monday, March 24, 2025 at 3:37 PM
• Accession Number: 0
• Record Class: Municipal
• Content Manager Barcode: R03000OQAF
• Record Type: Form (Blank) / Cheat Sheet
• Latest Version: FORM/1106

Parts

• First Part: FORM/1106
• Latest Part: FORM/1106
• Is Part: No

Archiving

• Retention Schedule: 040.130 Forms - Blank (TRIM rt); Notes: CMRRS RECORD DEFINITION: Blank forms are not considered to be records and should be separated from the records. However, a master forms file may be maintained to track the evolution of the form and instructions regarding use of the form.; CMRRS RETENTION: Until superseded, except retain 1 copy permanently if master forms file is maintained [Master forms file NOT maintained by City. mbc]; TRIM record type = Form (Blank) / Cheat Sheet; Action Summary: Destroy after Date Superseded / Replaced / Revised (Additional Field)
• Disposition: Active
• Disposal Schedule: Make Inactive: No Relevant Triggers; Destroy: Monday, March 24, 2025
• Date Due for Destruction: Monday, March 24, 2025
• Last Action Date: Friday, November 28, 2025 at 11:11 AM

Container

• Is a container: No