Get the free Use this form to request payment from your Dependent Care Flexible Spending Account

Cagney Choice Fund Dependent Care Reimbursement Request Form Use this form to request payment from your Dependent Care Flexible Spending Account Please follow these steps to ask us for payment. If

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This form is used to report income and expenses for tax purposes.

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Individuals and businesses who have earned income or incurred expenses during the tax year are required to file this form.

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You must report all sources of income, including wages, salaries, dividends, and any other income received during the tax year. You must also report all deductible expenses.