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Recurring Dependent Care Reimbursement Request Please complete this form to establish a Recurring Dependent Care Reimbursement Request. In addition, you must send in a new Recurring Dependent Care
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How to fill out recurring dependent care reimbursement

How to fill out recurring dependent care reimbursement
01
Log in to your employee benefits portal.
02
Navigate to the section for dependent care reimbursement.
03
Select the option for recurring dependent care reimbursement.
04
Fill out the required information for your dependent, including their name, age, and the provider of the care.
05
Enter the specific schedule for the care, including the days and times it is provided.
06
Submit the form for review and approval by your benefits administrator.
Who needs recurring dependent care reimbursement?
01
Employees who have dependent children or family members that require regular care while they are working.
02
Those who want to take advantage of pre-tax savings for their dependent care expenses.
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What is recurring dependent care reimbursement?
Recurring dependent care reimbursement is a process that allows individuals to claim reimbursements for ongoing child or dependent care expenses incurred due to work-related responsibilities.
Who is required to file recurring dependent care reimbursement?
Individuals who utilize dependent care services while they work or look for work and wish to get reimbursed for those expenses through their employer's flexible spending account (FSA) or dependent care assistance program are required to file.
How to fill out recurring dependent care reimbursement?
To fill out recurring dependent care reimbursement, complete the designated form provided by your employer, detailing your care provider's information, the dates of service, and the total amounts incurred. Ensure to attach receipts or proof of payment as required.
What is the purpose of recurring dependent care reimbursement?
The purpose is to help employees manage the cost of care for dependents while they are working, allowing them to recover some of the expenses through pre-tax reimbursements.
What information must be reported on recurring dependent care reimbursement?
You must report the name, address, and taxpayer ID of the care provider, the dates care was provided, the amount paid, and any other information specified by your employer's reimbursement policy.
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