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2nd ANNUAL CENTRAL & SOUTHERN ILLINOIS REGIONAL FALL CONFERENCE November 14 & 15, 2013 Thelma Keller Convention Center, Effing ham, IL www.kellerconventioncenter.com FULL CONFERENCE (November 14 &
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How to fill out dcap enrollment form 041508doc
How to fill out DCAP enrollment form 041508doc:
01
Start by reading through the form carefully to familiarize yourself with the information and sections required.
02
Provide your personal details like name, address, and contact information in the designated spaces.
03
Specify the coverage period and indicate whether you are a new enrollee or making changes to an existing DCAP plan.
04
If you are making changes, clearly state the modifications you wish to make and provide any necessary supporting documentation.
05
Indicate the primary account holder and any dependents who will be covered under the DCAP plan.
06
Fill out the dependent information section, including their names, dates of birth, and relationship to the primary account holder.
07
Provide details about your eligible expenses, such as daycare or eldercare costs, including the provider's name, address, and the amount you expect to spend.
08
If you choose to have the funds deducted from your paycheck, provide the necessary payroll deduction authorization information.
09
Sign and date the form to certify that the information provided is accurate.
10
Submit the completed form to the appropriate department or individual as instructed.
Who needs DCAP enrollment form 041508doc:
01
Employees who wish to enroll in a dependent care assistance program (DCAP) offered by their employer.
02
Individuals who are already enrolled in DCAP but want to make changes to their existing plan.
03
New employees who are eligible for the DCAP and want to take advantage of the program.
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