Employees can create, display, change, delete and review the status of their health and dependent care claims through Employee Self Service (ESS) FSA/ITS Claims.

Instructions for creating and submitting FSA/ITS reimbursement claims through ESS:

FSA/ITS Online Claims Process   (.pdf form)

You must print a summary sheet, sign it and attach copies of all your receipts prior to sending to the Auditor's Controller's Office for reimbursement. Place the information in a sealed envelope marked, PERSONAL & CONFIDENTIAL, and send to A/C Payroll Div.

Frequently Asked Questions for your Individual Tax Savings (ITS) or Flexible Spending Account (FSA):

FSA/ITS FAQs    

The Auditor-Controller's Office will still accept the ITS Health and Dependent Care Reimbursement Forms located in the links below.

ITS Health Reimbursement Form  (.pdf form)

ITS Dependent Care Reimbursement Form  (.pdf form)

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