Submitting FSA Reimbursement Requests

GDI makes it easy to submit reimbursement requests for flexible spending account participants:

1. Complete one of the following Reimbursement Request Forms:

2009 FSA Claim Form
2010 FSA Claim Form
2010 FSA Claim Form - Alternate ID
2009 Limited Purpose FSA Claim Form
2010 Limited Purpose FSA Claim Form

2. Attach itemized receipts

3. Submit the form and documentation to GDI via any of the following methods:

Fax: 207-781-3841
Mail: 411 US Route One, Falmouth, ME 04105
Email: Scan Reimbursement Request Form and Receipts and email to This e-mail address is being protected from spambots. You need JavaScript enabled to view it

For questions about your Flexible Spending Account, you may call our Customer Service Team at 800-626-3539, or 207-781-8800, Monday through Friday from 8am to 5pm ET.