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DEPENDENT CARE/HEALTH CARE REIMBURSEMENT ACCOUNT PLANS ENROLLMENT AUTHORIZATIONPlease type or print clearly with ballpoint pen. Return completed form to campus Benefits Officer. SEE PRIVACY NOTICE
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How to fill out dependent care receiptbri

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How to fill out dependent care receiptbri

01
Obtain the dependent care receipt from the child care provider.
02
Fill in the date of service and the total amount paid for dependent care.
03
Include the name of the child or children receiving care.
04
Sign and date the receipt to validate the information provided.

Who needs dependent care receiptbri?

01
Individuals who are claiming dependent care expenses on their taxes.
02
Employers who offer dependent care reimbursement programs.
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Dependent care receipt is a document that provides proof of payment for dependent care services, such as daycare or babysitting.
Individuals who have paid for dependent care services and wish to claim the dependent care tax credit are required to file dependent care receipt.
To fill out dependent care receipt, include the date of payment, name and address of the care provider, amount paid, and any other required information.
The purpose of dependent care receipt is to document expenses paid for dependent care services in order to claim the dependent care tax credit.
Information such as date of payment, care provider's name and address, amount paid, and any other relevant details must be reported on dependent care receipt.
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