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Get the free FSA Dependent Care Reimbursement Claim Form - co madison il

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Dependent Care Claim Form MAIL CLAIM FORM TO: Health Care Account Service Center PO Box 981506 El Paso, TX 79998-1506 Fax: 915-231-1709 Toll Free Fax 866-262-6354 Customer Service 800-331-0480 Complete
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FSA dependent care reimbursement is a program that allows participants to use pre-tax dollars to pay for eligible dependent care expenses.
Employees who have a dependent care FSA and have incurred eligible dependent care expenses are required to file fsa dependent care reimbursement.
To fill out fsa dependent care reimbursement, participants need to submit a claim form along with supporting documentation of the dependent care expenses.
The purpose of fsa dependent care reimbursement is to provide a tax advantage to employees who have incurred eligible dependent care expenses.
On fsa dependent care reimbursement, participants must report the name, address, and social security number or tax identification number of the child care provider.
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