Commuter Benefit Enrollment

Commuter Benefit Enrollment — Form Fields

This hr template includes 9 fields. Enroll in the pre-tax commuter benefit program for transit, vanpool, or parking expenses. Free to customize and use on ZenBuild.

• Employee Name (text, required)
• Work Email (email, required)
• Employee ID (text, required)
• Benefit Type (checkboxes, required) — options: Transit/Vanpool, Parking
• Monthly Transit Amount ($) (number, optional)
• Monthly Parking Amount ($) (number, optional)
• Primary Commute Method (dropdown selection, required) — options: Subway/Metro, Bus, Train, Vanpool, Parking Garage, Other
• Commute Origin City (text, required)
• Acknowledge Payroll Deduction? (multiple choice, required) — options: Yes, No