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DEPENDENT DAY CARE REIMBURSEMENT FORM / ACKNOWLEDGMENT FORM ***THIS FORM CANNOT BE USED FOR MEDICAL EXPENSE REIMBURSEMENT REQUESTS*** Name of Employer: Daytime Phone (with area code): Centerville
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What is dependent day care reimbursement?
Dependent day care reimbursement is a program that allows individuals to be reimbursed for expenses related to caring for their dependents while they are at work or school.
Who is required to file dependent day care reimbursement?
Employees who have eligible dependents and incur expenses for their care while they are at work or school are required to file dependent day care reimbursement.
How to fill out dependent day care reimbursement?
To fill out dependent day care reimbursement, you need to provide details of your dependents, the care provider's information, and the expenses incurred. This information is usually submitted using a specific form or online portal.
What is the purpose of dependent day care reimbursement?
The purpose of dependent day care reimbursement is to provide financial assistance to individuals who incur expenses for the care of their dependents while they are at work or school. This program helps to alleviate some of the financial burden associated with dependent care.
What information must be reported on dependent day care reimbursement?
On dependent day care reimbursement, you must report details about your dependents, such as their names, ages, and relation to you. You also need to provide information about the care provider, including their name, address, and taxpayer identification number. Additionally, you must report the expenses incurred for dependent care.
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