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Dependent Care Flexible Spending Account (FSA) Reimbursement Form PARTICIPANT INFORMATION ID Number or SSN (required) LAST NAME FIRST NAME EMPLOYER ID/CLIENT CODE University of Delaware M.I. L06155
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The l06155 dependent care claim is a form used to claim expenses paid for dependent care, such as child care or care for a disabled family member, to potentially receive a tax credit or reimbursement.
Individuals who have incurred eligible expenses for dependent care during the tax year may be required to file the l06155 dependent care claim.
To fill out the l06155 dependent care claim, individuals must provide information about the dependent care expenses paid, as well as details about the dependent care provider.
The purpose of the l06155 dependent care claim is to help individuals offset the costs of dependent care by providing a potential tax credit or reimbursement for eligible expenses.
On the l06155 dependent care claim, individuals must report details about the dependent care provider, the amount paid for dependent care expenses, and any other relevant information specified on the form.
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