Enrollment Forms
Select from the 2026 document library shown below.
FSA Only
Use this form if you are enrolling in just a flexible spending account
HSA ONLY
For those enrolling in just a health savings account
COMMUTER Only
When electing just a commuter account
all benefits
Enrolling in all available benefits for you
dcap ONLY
Use to enroll in just a dependent care assistance plan
fsa & dcap
To enroll in both flexible spending and dependent care plans
FSA & LFSA & DCAP
Use this form if you are enrolling in flex, limited flex, and DCAP
questions
We're available to assist with any questions to help you choose the right forms