Enrollment Forms

All AXIS Forms are available for download.

AXIS makes enrolling in our Plan easy! You can either enroll online by clicking on the Enroll Online link below or by downloading one of our enrollment applications.

Enroll Online Download Enrollment Application
Download Enrollment application with DayCare Option

Claim Forms

FlexAccount Claim Form
Tuition Claim Form
Daycare Claim Form
Transportation Claim Form
Daycare Acknowledgement Form
Pay My Provider

Substantiation Forms

Participants must submit, upon request, documentation showing date of service, description of service and amount paid. The Expense Substantiation Form below should be completed and submitted with the Participant’s documentation.

Expense Substantiation Form

Other Forms

Enrollment Change Form
Name/Address Change Form
Student Verification Form
Qualified Relative Form
Authorization for Direct Deposit
Affidavit of Domestic Partnership
Solicitud de Inscripción en Español