The forms marked "Submittable online" can be completed and processed online as long as you are registered and have logged on to the site.

• If you are not registered, click on "Not Registered" at the top of the page and follow the registration instructions.
• If you are registered, but not currently logged in, you will be redirected to the login page.
• Click on the PDF symbol to download the form.
• Go to Contact Us.
• Create a new message under the Forms category, and attach the completed form and any required document(s) to submit for processing.

For the forms not marked "Submitable online":

• Download the form.
• You can then print and  fax or mail it to the ASEA Health Trust Administrator for processing.

Form	Description	Submittable Online	Display
HCRA Reimbursement Form	Use this form to submit itemized bills or receipts for reimbursement under your Health Care Reimbursement Account Plan.	Yes
Health Reimbursement Arrangement Plan	Use this form to submit information for eligible expenses incurred by you, your spouse, or other eligible dependents, for which you are requesting reimbursement under the HRA Plan. Remember to also submit the required supporting documentation.