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Dependent Care FSA Reimbursement Form page of Fax to: 8774886454 For faster service fax this entire sheet along with the appropriate documentation. Please do not use a cover sheet when faxing. Employee

How to fill out dependent care fsa reimbursement

How to fill out dependent care FSA reimbursement:

1. Gather all necessary documentation, including receipts and invoices for eligible dependent care expenses.
2. Access the online portal or obtain a dependent care FSA reimbursement form from your employer.
3. Fill out the form or enter the required information online. This typically includes personal details, the amount being reimbursed, and a description of the dependent care expense.
4. Attach or upload the supporting documentation as required.
5. Double-check all the information entered for accuracy and completeness.
6. Submit the reimbursement form either online or through the designated submission method provided by your employer.
7. Keep a copy of the reimbursement form and supporting documentation for your records.
8. Await confirmation of the reimbursement request or check the online portal periodically for updates on the status of your claim.
9. Once approved, reimbursement will be issued either through direct deposit or a physical check mailed to your address.

Who needs dependent care FSA reimbursement?

1. Working parents who have eligible dependents, such as children under the age of 13 or disabled dependents of any age, may need dependent care FSA reimbursement.
2. Individuals who incur out-of-pocket expenses for qualified dependent care services to enable them to work or go to school may require dependent care FSA reimbursement.
3. Employees who have enrolled in a dependent care flexible spending account (FSA) provided by their employer as part of their benefits package may need to submit reimbursement requests for eligible expenses incurred throughout the plan year.

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