HRA VEBA Claim Form

Back to Administration

You will find the fillable HRA VEBA Claim Form by clicking on the PDF document below. Instructions for submitting the claims, an explanation of qualified expenses/premiums and information regarding qualified dependents are on page 2.

Online City Services

Customer Central Online Payment Center
Connect to
Ashland Fiber Network
Request Conservation
Evaluation
Proposals, Bids
& Notifications
Request Building
Inspection
Building Permit
Applications
Apply for Other
Permits & Licenses
Register for
Recreation Programs

©2019 City of Ashland, OR | Site Handcrafted in Ashland, Oregon by Project A

Quicklinks

Connect

Share

twitter facebook Email Share
back to top