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FIN16.05 (b)DEPENDANT CARE PREAPPROVAL REQUEST FORM (for Dependants Accompanying Member to Event)This form is for preapproval requests only. Please see FAQs on the reverse before you complete this
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How to fill out dependant care pre-approval request

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How to fill out dependant care pre-approval request

01
Gather necessary information: Collect details such as the child's name, age, and the type of care needed.
02
Complete the request form: Accurately fill out all sections of the dependent care pre-approval request form.
03
Include care provider details: Provide information about the care provider, including their name, address, and qualifications.
04
Attach supporting documents: Include any necessary documentation, such as a care plan or invoices, if applicable.
05
Review for accuracy: Double-check all entered information to ensure it is correct and complete.
06
Submit the request: Send the completed form and any attachments to the appropriate department for approval.

Who needs dependant care pre-approval request?

01
Parents or guardians seeking financial assistance for childcare expenses.
02
Employees utilizing employer-sponsored dependent care benefits.
03
Individuals applying for government assistance programs related to childcare.
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A dependant care pre-approval request is a formal submission required to obtain prior authorization for expenses related to the care of dependents, which may be used for tax benefits or reimbursement through flexible spending accounts.
Individuals who wish to claim childcare expenses for dependents, particularly those who participate in employer-sponsored dependent care assistance programs, are required to file a dependant care pre-approval request.
To fill out the dependant care pre-approval request, gather relevant information such as the dependent's name and age, the care provider's information, and the estimated costs. Then, complete the form as specified by your employer or the relevant benefits administrator.
The purpose of the dependant care pre-approval request is to ensure that expenses related to dependent care can be reimbursed and to verify that these expenses meet the requirements set by tax laws or employer policies.
Essential information that must be reported includes the names and ages of dependents, the type of care provided, the provider’s details, and the estimated costs associated with the dependent care.
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