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Home
Latest News
Careers
Contact
User Login
Services
back
Flexible Spending Accounts (FSAs)
Health Reimbursement Arrangements (HRAs)
Health Savings Accounts (HSAs)
COBRA Administration
Premium Only Plans (POPs)
Pre-tax Parking Plans (PPPs)
Member Benefit Program for American Indian Tribes (MBPs)
Request A Quote
Why DBS
back
The DBS Difference
DBS History
DBS Team
Testimonials
Participant Resources
back
Forms
Setting Up an Online Account
How to File a Claim
Flexible Spending Accounts (FSA) FAQs
Debit Card FAQs
Health Reimbursement Arrangements (HRA) FAQs
Health Savings Account (HSA) FAQs
Limited Purpose FSA (LPFSA) FAQS
Mail/Fax
Mobile App
Online
Broker Resources
back
Partnering With DBS
Request a Quote
Back To Top
Mail/Fax
Download a claim form by going to “Participant Resources > Forms”
Complete the form and attach copies of your documentation
Mail to Diversified Benefit Services, P.O. Box 260, Hartland, WI 53029
Or fax to 262-367-5938