Get the free Dependent Care Subsidy Enrollment Form - bates

This document is used for enrolling in the Dependent Care Reimbursement Account (DCRA) program at Bates College, which provides a subsidy for dependent care expenses based on income levels and contributions

How to fill out dependent care subsidy enrollment

How to fill out Dependent Care Subsidy Enrollment Form

1. Obtain the Dependent Care Subsidy Enrollment Form from your employer or the appropriate agency.
2. Fill out your personal information at the top of the form, including your name, address, and contact details.
3. Provide details about your dependent(s), including their names, birth dates, and any relevant identification numbers.
4. Indicate the type of care your dependent(s) receive, such as daycare, after-school programs, or babysitting.
5. List the provider's information, including name, address, and contact details of the care provider.
6. Fill out the estimated monthly costs for dependent care and any payments made to the provider.
7. Review the form to ensure all information is accurate and complete.
8. Sign and date the form at the designated area.
9. Submit the form to the appropriate department, either electronically or via mail, as per the instructions.

Who needs Dependent Care Subsidy Enrollment Form?

1. The Dependent Care Subsidy Enrollment Form is needed by employees who have dependent children under the age of 13 or dependents with disabilities and are seeking financial assistance for child or dependent care costs.

People Also Ask about

How can I get help paying for daycare in PA?

Am I Eligible? Family SizeMaximum Yearly Family Income (2019) 2 $33,820 3 $42,660 4 $51,500 5 $60,3403 more rows

How do you qualify for public assistance in PA?

Eligibility The gross monthly income limit for an individual is no more than $1,533 per month. For an elderly or disabled individual, the gross monthly income amount is typically no more than $1,916 per month. Monthly income eligibility limits increase with the size of the family.

What is dependent care subsidy?

The Dependent Care Assistance Program (DCAP) allows you to use tax-free dollars to pay for child day care or elder day care expenses that you incur because you and your spouse are both gainfully employed.

What is the maximum income for a child care subsidy?

Standard CCS rate thresholds Combined family incomeSubsidy per cent of the actual fee charged (up to relevant percentage of the hourly rate cap) Up to $83,280 90% More than $83,280 to below $533,280 Tapering to 0%* $533,280 or more 0% Jul 1, 2024

What is the form for dependent care credit?

Form 2441 is used to claim the Child and Dependent Care Credit, which is available to those who pay someone to care for dependent children under 13, disabled spouses, or other dependents who cannot mentally or physically care for themselves.

What is the highest child care subsidy rate?

CCS rates 2024-25 Family incomeSubsidy rate Up to $83,280 90% More than $83,280 to below $533,280 Decreasing from 90% The percentage decreases by 1% for every $5,000 of income a family earns $533,280 or more 0% Jan 20, 2025

How to qualify for CCIs in PA?

Have a child or children who need child care while you work or attend an education program; Meet income guidelines for your family size; Work or train at least 20 hours a week, which can include 10 hours of work and 10 hours of training; Teen parents must be enrolled in an education program full-time.

For pdfFiller’s FAQs

What is Dependent Care Subsidy Enrollment Form?

The Dependent Care Subsidy Enrollment Form is a document used to apply for financial assistance for child or dependent care expenses incurred while a parent or guardian is working or attending school.

Who is required to file Dependent Care Subsidy Enrollment Form?

Individuals who are seeking financial assistance for dependent care expenses and are eligible under the subsidy program guidelines are required to file the Dependent Care Subsidy Enrollment Form.

How to fill out Dependent Care Subsidy Enrollment Form?

To fill out the Dependent Care Subsidy Enrollment Form, applicants need to provide personal information, details about their dependents, information about their care providers, and any relevant financial documentation as specified in the form instructions.

What is the purpose of Dependent Care Subsidy Enrollment Form?

The purpose of the Dependent Care Subsidy Enrollment Form is to determine eligibility for subsidy assistance, helping families manage the costs associated with caring for dependents while they work or pursue education.

What information must be reported on Dependent Care Subsidy Enrollment Form?

The information that must be reported on the Dependent Care Subsidy Enrollment Form includes the applicant's personal details, dependent(s) information, care provider's information, income details, and any other relevant information required by the subsidy program.