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State of Connecticut Dependent Care Assistance Program Claim Reimbursement Form Revised 09/10 EMPLOYEE NAME SOCIAL SECURITY NUMBER HOME ADDRESS (Check if new address) EMPLOYEE NUMBER DAYTIME PHONE
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What is dcap claim formrev09272010doc board?
The dcap claim formrev09272010doc board is a form used to claim expenses under the Dependent Care Assistance Program (DCAP).
Who is required to file dcap claim formrev09272010doc board?
Employees who participate in the Dependent Care Assistance Program (DCAP) are required to file the dcap claim formrev09272010doc board to claim eligible expenses.
How to fill out dcap claim formrev09272010doc board?
To fill out the dcap claim formrev09272010doc board, you need to provide information about the dependent care expenses incurred, such as the provider's name, address, and taxpayer identification number, as well as the amount paid and the dates of service.
What is the purpose of dcap claim formrev09272010doc board?
The purpose of the dcap claim formrev09272010doc board is to enable participants of the Dependent Care Assistance Program (DCAP) to claim eligible expenses and receive reimbursement.
What information must be reported on dcap claim formrev09272010doc board?
On the dcap claim formrev09272010doc board, you must report information such as the dependent care provider's name, address, and taxpayer identification number, as well as the amount paid and the dates of service.
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