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This form is for students with children or dependents who require childcare while attending classes at EKU and need to provide documentation for dependent care expenses adjustment.
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How to fill out dependent care form

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How to fill out Dependent Care Form

01
Obtain the Dependent Care Form from your employer or the relevant agency.
02
Fill in your personal information, including your name, address, and employee ID.
03
Provide details about your dependent(s) such as their name(s) and date(s) of birth.
04
List the care providers’ information, including their names, addresses, and taxpayer identification numbers.
05
Enter the total amount you paid for dependent care services.
06
Ensure all necessary documentation, such as receipts or invoices, is attached.
07
Review the completed form for accuracy.
08
Submit the form to your employer or the designated agency by the deadline.

Who needs Dependent Care Form?

01
Parents or guardians who pay for childcare services while they are working or looking for work.
02
Individuals who have dependents with disabilities requiring care.
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The percentage of expenses a family can claim steadily decreases as income rises, until families with AGI of $43,000 or more reach the minimum claim rate of 20 percent, qualifying for a maximum potential credit of $1,200. Unlike the Earned Income Tax Credit and the Child Tax Credit, the CDCTC is non-refundable.
Form 2441 is used to report child and dependent care expenses, such as hiring a caretaker or sending your child to daycare. To claim this credit, you'll need to prove you meet the requirements, including reporting earned and unearned income.
Dependent Care FSA Use the FSAFEDS app to have the dependent care provider certify the service by providing a signature on your mobile device. Have the dependent care provider certify the service by signing the completed claim form (PDF). Submit a claim (PDF) with an itemized statement from the dependent care provider.
A Form W-10 properly completed by the provider. A copy of the provider's social security card. A recently printed letterhead or printed invoice that shows the provider's name, address, and TIN. If the provider is your employer's dependent care plan, a copy of the statement provided by your employer under the plan.
While unused amounts cannot be refunded, the existing regulations do permit Dependent Care FSAs to offer a grace period. A grace period allows participants to spend unused funds during the 2.5 month (75 day) period following the end of the plan year. Any amounts remaining at the end of the grace period are forfeited.
To claim the credit, you (and your spouse, if you're married) must have income earned from a job and you must have paid for the care so that you could work or look for work. You can claim from 20% to 35% of your care expenses up to a maximum of $3,000 for one person, or $6,000 for two or more people (tax year 2024).
Dependent Care FSA Use the FSAFEDS app to have the dependent care provider certify the service by providing a signature on your mobile device. Have the dependent care provider certify the service by signing the completed claim form (PDF). Submit a claim (PDF) with an itemized statement from the dependent care provider.

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The Dependent Care Form is a document used to report expenses related to the care of dependents, such as children or disabled individuals, allowing filers to claim tax credits.
Taxpayers who have incurred expenses for the care of qualified dependents while they work or look for work are required to file the Dependent Care Form.
To fill out the Dependent Care Form, gather necessary information about the dependents and care providers, fill in the applicable fields regarding your expenses, and ensure accuracy before submission.
The purpose of the Dependent Care Form is to allow taxpayers to claim a credit for expenses related to the care of dependents, which can help reduce their overall tax liability.
The information that must be reported includes the names and addresses of the care providers, the total amount paid for care, and details about the dependents receiving care.
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