 How to file a claim When filing your claim for reimbursement, you must attach copies of the receipts. (Keep your original receipts for your records.) The receipt must show the date and type of service for the expense. Canceled checks, credit card slips, or statements showing only a balance due on your account are not allowable. Click here for a reimbursement claim form (Word doc). Click here for a reimbursement claim form (PDF). Where to send a claim Mail or fax your claim to: Custom Benefit Services, Inc. |