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State of Washington
Dependent Care Assistance Program (CAP) Recurring Claim Form
Plan Year JANUARY 1, 2019, through DECEMBER 31, 2019This form streamlines reimbursement of your qualified dependent
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What is dependent care contract?
A dependent care contract is an agreement between an employer and an employee for the employee to receive dependent care benefits.
Who is required to file dependent care contract?
Employers are required to provide dependent care contracts to employees who wish to participate in dependent care benefit programs.
How to fill out dependent care contract?
Employees must provide required information such as dependent care provider's name, address, and taxpayer identification number.
What is the purpose of dependent care contract?
The purpose of a dependent care contract is to outline the terms and conditions for receiving dependent care benefits.
What information must be reported on dependent care contract?
The dependent care provider's information, services provided, and payment terms must be reported on the dependent care contract.
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