Automatic Funding Authorization [PDF] HRA - Employer Reallocation of Forfeited Amounts [PDF] HRA Contribution Data Submission and Funds Transfer Instruct [PDF] HRA Employer Account Claim Form [PDF] HRA Employer Account Investment Instruction Form [PDF] HRA Participant Status Change Form [PDF] HRA- HIPAA Authorization Form [PDF] VL 40590 HRA Benefits Card Supporting Documents [PDF] VL 40591 HRA Benefits Card Supporting Documents - OBB Prefil [PDF]