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GSA 3667 Application for Pretax Transportation Fringe Benefits Form
Excludable from gross income. DATE GENERAL SERVICES ADMINISTRATION Sensitive but Unclassified GSA 3667 REV. 11/2019 INSTRUCTIONS Revenue Code 26 USC 132 permitting an employer to pay for an employee s cost of commuting to work in other than a single occupancy vehicle. AGENCY 2. TYPE OF BENEFIT NOTE RECERTIFICATION IS REQUIRED BY DECEMBER 15TH OF EACH YEAR OR WHEN AN EMPLOYEE S CIRCUMSTANCES CHANGE CHECK APPROPRIATE BOX MONTHLY PRETAX AMOUNT REQUESTED TYPE a. Transportation in Commuter Highway...
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