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How to use or fill out Dependent Care FSA Claim Form - ADP Flexible Spending Accounts with DocHub
- Click ‘Get Form’ to open it in the editor.
- Begin by filling out Section 1 with your personal information, including your Social Security Number or Employee ID, company name, and contact details. Ensure you use capital letters and center your text within the boxes.
- In Section 2, list each dependent care expense separately. For each expense, provide the start and end dates of service, requested amount, provider's tax ID or SSN, and confirm if a receipt is attached. Remember to complete a separate line for each individual expense.
- Attach supporting documentation by copying receipts onto a white sheet of paper. Write your Social Security Number or employee ID at the top and ensure all receipts face the same direction.
- Submit your completed form either by faxing it along with the receipts or mailing it to ADP. If you provide an email address, you will receive confirmation of receipt.
- Opt for Direct Deposit for faster reimbursement processing. Log into your account at myspendingaccount.adp.com to set this up.
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