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RECURRING DAYCARE REIMBURSEMENT REQUEST FORM PO Box 5546 De Père, WI 541155546 Phone (800) 6866829 Fax (920) 3390038 Email: claims×Canadian.coma Recurring Claim allows Benefit Advantage to automatically
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How to fill out recurring daycare reimbursement request

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How to fill out recurring daycare reimbursement request

01
Obtain a copy of the recurring daycare reimbursement request form from your employer or human resources department.
02
Fill out the personal information section of the form, including your name, employee ID, and contact details.
03
Provide details about your child or children enrolled in daycare, including their names, dates of birth, and the daycare center they attend.
04
Indicate the frequency of reimbursement you are requesting, such as weekly, bi-weekly, or monthly.
05
Calculate the total amount of expenses incurred for daycare during the reimbursement period and enter it in the appropriate section of the form.
06
Attach supporting documentation, such as receipts or invoices, that validate the daycare expenses incurred.
07
Review the completed form to ensure all information is accurate and complete.
08
Sign and date the form.
09
Submit the completed form along with the supporting documentation to the designated person or department responsible for processing daycare reimbursement requests.
10
Keep a copy of the form and supporting documentation for your records.

Who needs recurring daycare reimbursement request?

01
Employees who have dependents enrolled in daycare and are eligible for reimbursement benefits from their employer.
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Recurring daycare reimbursement request is a form submitted to request reimbursement for ongoing daycare expenses.
Parents or guardians who have children enrolled in daycare and are eligible for reimbursement are required to file the recurring daycare reimbursement request.
To fill out the recurring daycare reimbursement request, parents or guardians need to provide information about the daycare provider, the child enrolled, and the expenses incurred.
The purpose of recurring daycare reimbursement request is to provide financial assistance to parents or guardians for daycare expenses.
Information required on recurring daycare reimbursement request includes the daycare provider's name, address, the child's information, and the expenses incurred.
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