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SUNY Downstate Health Sciences University

Faculty Student Association

Forms Menu

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FSA Business Office
FSA Service Hotline (24/7): 718-270-2900
Phone: 718-270-3187
Fax: 718-270-3845
MailStop: 1219
Location: Student Center
394 Lenox Rd
Rm 2-09
Hours: M-F 9am to 5pm, except holidays
Email: FSA Business Office Team eMail

Trust and Agency (TA) Account Related Forms and Documents

PDF format eForms - Always return to this page when initiating a new blank form to ensure using the most current updated form.

FSA Payment Form (FSA001) and instructions 

Understanding your FSA Account Transaction Report (sample)

TA Account Application Form. Used to apply for a New T&A Account. Print, sign, then send to FSA Business Office MailStop 1219.

TA Account Revision Form. Used to update an existing TA Account's purpose, types of expenses, authorized signator changes. Print, sign, then send to FSA Business Office MailStop1219.

TA Account Application for Temporary Party Fund. Used for collection of voluntary contributions for a specific one time event or purpose (retirement parties, holiday parties, staff personal event celebrations, one time charitable purpose, etc..).

TA Account FSA Policies and Procedures. The current FSA policies and procedures that govern all SAF and TA accounts.

SUNY Guidelines on Trust and Agency Accounts.

Inquiries: Please Use the FSA Business Office Team eMail link in the INFO box (upper right of all FSA pages)