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1501 BROADW AY SUITE 450* NEW YORK,N.Y. 10036 TELEPHONE (212) 7779000Email to: childcare@sseu37lfunds.org CHILDCARE REIMBURSEMENT FORM MEMBER INFORMATION Name: ___SS#: ___ (last 4 digits)Address:

How to fill out child-care-reimbursement-form

How to fill out child-care-reimbursement-form

1. Obtain the child-care-reimbursement-form from your employer or childcare provider.
2. Read the instructions carefully to understand the requirements.
3. Fill in your personal information, including your name, address, and employee ID.
4. Provide details about the childcare provider, such as name, address, and tax identification number.
5. Enter the dates for which you are claiming reimbursement.
6. List the amount you are claiming for each date or service.
7. Attach any required documentation, such as receipts or invoices, to support your claim.
8. Review the completed form for accuracy and completeness.
9. Sign and date the form where indicated.
10. Submit the form to the designated department for processing.

Who needs child-care-reimbursement-form?

1. Parents or guardians who incur childcare expenses and seek reimbursement from their employer.
2. Employees whose companies offer a childcare reimbursement program or flexible benefits plan.

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What is child-care-reimbursement-form?

The child-care reimbursement form is a document used to request reimbursement for child care expenses incurred while a parent is working or attending school.

Who is required to file child-care-reimbursement-form?

Parents or guardians who are eligible for child care assistance programs or benefits are required to file the child-care reimbursement form.

How to fill out child-care-reimbursement-form?

To fill out the child-care reimbursement form, provide personal information, details of the child care provider, the amount of expenses incurred, and attach receipts as proof of payment.

What is the purpose of child-care-reimbursement-form?

The purpose of the child-care reimbursement form is to allow parents to seek financial assistance for eligible child care expenses, helping them manage the costs associated with working or attending education programs.

What information must be reported on child-care-reimbursement-form?

Information required includes the parent's contact details, the child's information, child care provider's details, total reimbursement amount requested, and documentation of expenses.