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DEPENDENT CARE ASSISTANCE PROGRAM MIDYEAR ENROLLMENT OR STATUS CHANGE Office of the State Comptroller Healthcare Policy & Benefit Services DivisionDCAPELIGIBILITYEMPLOYEE INFORMATIONCO1310A (Rev.
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How to fill out dependent care assistance program

01
Step 1: Start by gathering all necessary documents such as receipts for dependent care expenses, proof of employment, and any other required documentation.
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Step 2: Obtain the dependent care assistance program application form from your employer or the designated authority.
03
Step 3: Fill out the application form accurately and provide all requested information.
04
Step 4: Attach the necessary documents with the application form, making sure to follow any specific instructions given.
05
Step 5: Review the completed form and attached documents to ensure everything is in order.
06
Step 6: Submit the application form and documents to the appropriate authority or your employer, following the specified submission method.
07
Step 7: Wait for the processing of your application. It may take some time for a response.
08
Step 8: Once you receive a decision on your application, follow any further instructions provided, such as submitting additional information or completing any required paperwork.
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Step 9: If your application is approved, ensure you understand the terms and conditions of the dependent care assistance program and how to make use of the benefits.
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Step 10: Keep track of your dependent care expenses and submit any reimbursement requests according to the program's guidelines and deadlines.

Who needs dependent care assistance program?

01
Individuals who have dependent(s) requiring care (such as young children, disabled adults, or elderly family members) and incur expenses for their care may benefit from the dependent care assistance program.
02
Working parents who need assistance with the costs of child care while they are employed.
03
Individuals who provide financial support for a disabled adult family member in need of care.
04
Employees who have eligible dependent care expenses and fulfill the program's criteria established by their employer or the relevant authority.
05
Anyone who meets the eligibility requirements and whose dependent care expenses qualify for reimbursement or assistance under the program.
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Dependent care assistance program is a benefit provided by employers to help employees with dependent care expenses, such as daycare or elder care.
Employees who have opted to participate in the dependent care assistance program offered by their employer are required to file.
Employees must fill out the necessary forms provided by their employer, including information about their dependents and the amount of care expenses they expect to incur.
The purpose of dependent care assistance program is to provide financial assistance to employees for their dependent care expenses, making it easier for them to work.
Employees must report information about their dependents, the amount of care expenses, and any other relevant information requested by their employer.
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