Employment & HR

Commuter Benefits Enrollment

Pre-tax commuter benefit election for qualified mass transit passes and qualified parking under IRS Section 132(f), with monthly contribution limits and payroll deduction authorization.

📄 1 signer📅 30-day expiry🏷 Employment & HR🔖 commuter-benefits, transit, parking, pre-tax, irs-section-132

About this template

The Commuter Benefits Enrollment is a ready-to-use employment & hr template you can send for signature in minutes. It is written for 1 signer (employee) and, by default, expires 30 days after it is sent if left unsigned. It covers commuter benefits, transit, parking, pre tax, irs section 132. Like every Abundera Sign template it is a convenience draft structured for ESIGN Act and UETA compliance, not a substitute for legal advice. Each signed copy is sealed with PAdES-LTA digital signatures, dual RFC 3161 timestamps, and a tamper-evident evidence package in WORM storage.

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# Commuter Benefits Enrollment This Commuter Benefits Enrollment Form ("Form") authorizes pre-tax payroll deductions for qualified transportation fringe benefits under IRS Section 132(f) of the Internal Revenue Code. Elections take effect on the stated effective date and remain in force until amended or terminated in accordance with plan rules. --- ## Section 1: Employee Information **Employee Name:** ___________ **Employee ID:** ___________ **Department:** ___________ **Work Location / Office Address:** ___________ **Primary Work Schedule (days per week in office):** ___________ Note: Commuter benefits apply only to qualifying commute trips to and from your primary work location. Remote workdays do not generate a qualifying commute. **Enrollment Effective Date:** ___________ --- ## Section 2: Qualified Mass Transit Benefit Qualified mass transit passes and vanpool arrangements are excludable from federal income, Social Security, and Medicare taxes up to the IRS monthly limit. **2025 IRS Monthly Limit:** $325 per month **Monthly Transit Election Amount:** ___________ Your election may not exceed the IRS monthly limit in effect at the time of each deduction. Elections above the limit will be automatically reduced to the then-current limit. **Eligible Transit Mode(s):** ___________ **Transit Provider or Pass Name (if known):** ___________ **Delivery Method:** ___________

Fields (24)

employee name
text · required
employee id
text · required
department
text · required
work location
text · required
commute days per week
number · required
effective date
date · required
transit monthly amount
currency · required
transit mode
select · required
transit provider
text
transit delivery
select · required
parking monthly amount
currency · required
parking facility
text
parking delivery
select · required
transit monthly amount
currency · required
parking monthly amount
currency · required
employer transit subsidy
currency
employer parking subsidy
currency
acknowledge change rules
checkbox · required
unused balance handling
radio · required
commute days per week
number · required
eligible commute certification
checkbox · required
acknowledge irs limits
checkbox · required
employee name
text · required
employee id
text · required

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