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Form 3921 (Rev. April 2025)
If you have fewer than 10 information returns to file, we strongly encourage you to e-file. If you want to file them on paper, you can place an order for the
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Form W-10 (Rev. October 2020)
Complete this part only if you are leaving the form with the dependent care provider to return to you later. Cat. No. 10437N. Form W-10 (Rev. 10-2020)
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Dependent Care Providers Identification and Certification
Form W-10 (Rev. 8-96). Do NOT file Form W-10 with your tax return. Instead, keep it for your records. Section references are to the Internal Revenue Code.
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