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Dependent Care Reimbursement Request Form DAY CARE Submit claims to Varipro Benefit Administrators Flexible Spending Department 5300 Patterson SE Suite 150 Grand Rapids MI 49512 or Fax 855 296-1026/Number of pgs Email claims to flex varipro. I agree to file IRS Form 2441 with my tax return and provide any taxpayer identification number required thereon. I authorize a deduction from my Dependent Care Reimbursement Account in the amount of this reimbursement request. The expense is for my...
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What is request form day care?
Request form day care is a form used to request child care services for a specific period of time.
Who is required to file request form day care?
Parents or legal guardians are required to file request form day care for their children.
How to fill out request form day care?
Request form day care can be filled out by providing child's information, desired dates, and specific care requirements.
What is the purpose of request form day care?
The purpose of request form day care is to ensure that child care services are available and tailored to meet the needs of each child.
What information must be reported on request form day care?
Information such as child's name, age, any allergies or medical conditions, emergency contact information, and special instructions must be reported on request form day care.
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