Get the free CS-1774 Dependent Care Flexible Spending Account Midyear Enrollment Form. CS-1774 De...

CS1774 Rev 12/2023State of Michigan Civil Service Commission EMPLOYEE BENEFITS DIVISION 400 South Pine Street, P.O. Box 30002 Lansing, Michigan 48909 8005055011 Email: MCSCEBD@mi.gov Fax: 5172840078Midyear

How to fill out cs-1774 dependent care flexible

How to fill out cs-1774 dependent care flexible

1. Gather all necessary information such as the dependent care provider's name, address, and Tax ID number.
2. Complete your personal information section, including your name, address, and social security number.
3. Provide the total amount of dependent care expenses you expect to incur for the year.
4. Fill out the payment schedule section with details of when and how often you will be making payments to the dependent care provider.
5. Sign and date the form before submitting it to your employer for processing.

Who needs cs-1774 dependent care flexible?

1. Employees who have dependents such as children or elderly parents who require care while they are working or attending school.
2. Individuals who wish to take advantage of tax savings by using pre-tax dollars to pay for dependent care expenses.

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What is cs-1774 dependent care flexible?

CS-1774 dependent care flexible is a form used by employees to claim reimbursement for eligible dependent care expenses under a flexible spending arrangement (FSA). It allows employees to use pre-tax dollars for child care costs while they work.

Who is required to file cs-1774 dependent care flexible?

Employees who participate in a dependent care flexible spending account (FSA) and incur dependent care expenses during the plan year are required to file the CS-1774 form to claim their reimbursements.

How to fill out cs-1774 dependent care flexible?

To fill out the CS-1774 form, provide your personal and employment information, list the dependent care expenses incurred, attach required receipts or documentation, and submit the completed form to your FSA administrator or employer according to their guidelines.

What is the purpose of cs-1774 dependent care flexible?

The purpose of the CS-1774 dependent care flexible form is to facilitate the reimbursement process for employees who have incurred qualifying dependent care expenses, ensuring they can benefit from tax savings associated with their flexible spending accounts.

What information must be reported on cs-1774 dependent care flexible?

The CS-1774 form must report information such as employee details, dependent names, dates of service, amounts incurred for dependent care, provider information, and any relevant documentation or receipts.