Claim Form – Transit / Parking
Please submit your claims with receipts by either fax (925.460.3929) or via mail (EBS, P.O. Box 11657, Pleasanton, CA 94588). Should you have any questions on how to file your claim, instructions follow the claim form in the above link. You may also call our Customer Service Center for assistance from 8AM – 5 PM PST, Monday through Friday at 888.327.2770.

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Affidavit for Transit Expenses (in lieu of receipts)
This form should be used when submitting a transit claim when no receipt was available. This form needs to be completed and submitted with the claim form.

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Affidavit for Parking Expenses (in lieu of receipts)
This form should be used when submitting a parking claim when no receipt was available. This form needs to be completed and submitted with the claim form.

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Direct Deposit Initiate / Change / Delete Form
This form can be used to initiate, change or cancel your direct deposit. This service alleviates the time spent waiting for a check in the mail and is available to all plan participants. Please allow two weeks after receipt by EBS for your direct deposit to be set-up for reimbursement.

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Frequently Asked Questions

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Commuter Benefit Savings Calculator

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Instructions for Creating / Accessing your Account


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Create / Access your account

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Information Release Document


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Info

PO Box 11657
Pleasanton, CA 94588
Employees / Members 888.327.2770
Employers/ Brokers 800.229.7683