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Flexible Spending Account (FSA) Dependent Care Receipt Form Custom Benefit Administrators FAX TO: (916) 303-7083 or (800) 584-4591 EMAIL TO: customer service cbadministrators.com Employer: Employee
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Start by entering the date of the transaction in the designated space.
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Indicate the vendor's name or business, along with their contact details.
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The DCAP receipt form, also known as Form 2441, is used by taxpayers to report expenses paid for dependent care services.
Taxpayers who have incurred expenses for dependent care services and wish to claim the dependent care assistance program (DCAP) exclusion on their tax return are required to file the DCAP receipt form.
To fill out the DCAP receipt form, taxpayers need to provide their personal information, such as their name, address, and Social Security number. They also need to report the provider's information, the amount paid for dependent care services, and any employer-provided benefits.
The purpose of the DCAP receipt form is to report eligible expenses paid for dependent care services and determine the amount of tax exclusion allowed under the dependent care assistance program.
The DCAP receipt form requires taxpayers to report their personal information, the provider's information, the amount paid for dependent care services, and any employer-provided benefits.
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