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Dependent Care FSA Use the FSAFEDS app to have the dependent care provider certify the service by providing a signature on your mobile device. Have the dependent care provider certify the service by signing the completed claim form (PDF). Submit a claim (PDF) with an itemized statement from the dependent care provider.
How to fill out the Dependent Care Receipt and Instructions Guide? Gather employer and dependent information. Fill out the dependent care provider details. Input dates of service and wages paid. Print your paystub or payroll report. Submit the completed form to your FSA provider.
Box 10 on your W-2 form should indicate the total annual amount of your Dependent Care FSA deductions. When completing your tax return, you will need to attach a Child and Dependent Care Expenses form (Form 2441 for a 1040 return; Schedule A for a 1040A return).
For example, if you used your FSA debit card to make a payment and at a qualified merchant for certain eligible over the counter products, your expense may even be automatically approved without the need for documentation.
ADPs experienced administrators are dedicated exclusively to servicing FSA participants with tested and proven FSA administration practices and systems.
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People also ask

Youre receiving a tax benefit because under the plan, youre not paying taxes on the money set aside to pay for the dependent care expenses. You must complete and attach Form 2441, Child and Dependent Care Expenses to your tax return.
Please save your receipts and other supporting documentation related to your HC FSA expenses and claims. The IRS may request itemized receipts to verify the eligibility of your expenses. Credit card receipts, canceled checks, and balance forward statements do not meet the requirements for acceptable documentation.

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