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Duke Human Resources
705 Broad Street
Box 90496
Durham, NC 27705
(919) 684-5600

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HR Home >> Forms >> Reimbursement Account Enrollment Form

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FORMS

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Reimbursement Account Change Form

If you are experiencing a qualifying life event, please submit a completed Reimbursement Account Change Form within 30 days of your qualified family status change. The Reimbursement Account Change Form should be sent to Duke Benefits at 705 Broad Street (Box 90502), Durham, NC 27705 (fax number 919-681-8774).

**New Employee? Click here to enroll in the reimbursement account(s). Remember, you have 60 days from your date of hire to enroll.

Form Name

Format

Reimbursement Account Change Form

PDF



* Some Duke HR forms may require you to list your Duke Unique ID.  If you do not know or are unsure of your Duke Unique ID, you can look it up here.

** Some forms available on this web site are in Adobe Portable Document Format (PDF).  You will need Adobe Acrobat Reader to view and print these forms.

 

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