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Get the free Dependent Care Reimbursement Claim Form - Montgomery County - mctx

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MONTGOMERY COUNTY SECTION 125 CAFETERIA PLAN DEPENDENT CARE EXPENSE ACCOUNT REIMBURSEMENT CLAIM FORM Mail or Fax claim forms to: Boon-Chapman P.O. Box 9201 Austin, TX 78766 (800) 252-9653 Phone (512)
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A dependent care reimbursement claim is a request made by an individual to be reimbursed for eligible expenses incurred while caring for a dependent, such as a child or disabled family member.
Any individual who has incurred eligible dependent care expenses and meets the criteria set by the reimbursement program can file a dependent care reimbursement claim.
To fill out a dependent care reimbursement claim, you will generally need to provide information about the dependent being cared for, the expenses incurred, and any supporting documentation required by the reimbursement program. This may include receipts, invoices, and proof of payment.
The purpose of a dependent care reimbursement claim is to allow individuals to seek reimbursement for eligible expenses incurred while caring for a dependent. This helps offset the financial burden of dependent care and encourages individuals to continue providing care for their dependents.
The information that must be reported on a dependent care reimbursement claim typically includes details about the dependent being cared for, the expenses incurred, the dates of the care, and any other required information outlined by the reimbursement program.
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