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Forms Healthcare	Forms - Financial and Tax

HEALTHCARE CORPORATE GIFTS FINANCIAL AND TAX EXPATRIATES EDUCATION AND OTHER

Payroll Pay In Lieu Authorization Form Payroll Distribution - For SeaRiver Maritime Only Loan Request Forms (Promissory Note and Payroll Deduction Authorization) Disaster Assistance - for individual personal disasters resulting from a widespread disaster in a federally-declared disaster area Special Emergency - for individual personal disasters (fires, flooding, etc) not covered by Disaster Assistance loans U.S. Savings Bond - Payroll Deduction W-4 Federal Tax Also see Payroll Calculators Verification of Service, Pay and Allowances (Military Duty) Verification of Service, Pay and Allowances - OEF (Military Duty - Operation Enduring Freedom) Pension Payroll Forms (PIN is required) IRS Forms Internet Site   Pre-Tax Spending Plan (Flexible Spending Accounts) Employee Affidavit - Flexible Spending Account Dependent Care Reimbursement Account Employee Affidavit - Flexible Spending Account Health Care Reimbursement Account Pre-Tax Direct Deposit Form Dependent Care Flexible Spending Account Claim Form Health Care Flexible Spending Account Claim Form Health Care Flexible Spending Account Over-The-Counter Claim Form Pre-Tax Claim Instructions IRS Publication 502 - Medical and Dental Expenses IRS Publication 503 - Child and Dependent Care Expenses IRS Publication 2441 - Instructions for Child and Dependent Care Expenses IRS Form 2441 - Child Care and Dependent Expenses IRS Forms Internet Site   Adoption Adoption Assistance Payment Request Form   Retirement For post-employment activities, including Pension Estimates, contact the ExxonMobil Benefits Service Center at ACS.

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