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.
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* 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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