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HealthEquity Client Activation Form
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HealthEquity Client Activation Form

Paycor’s Client Activation Form

To ensure our integration is configured correctly, we will need some input from you prior to Client activation.

Please take a moment to fill in below fields.

Questions? Email [email protected].

Please list all FEINs that will be electing the WageWorks services

Please list the services Client elected

Hold down control (Windows) or command (Mac) to select multiple

Please list all applicable WageWorks plan codes. Example: Healthcare FSA: HCFSA20XX