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Dependent Day Care claims cannot be reimbursed without proper receipts or provider certification. You may submit up to four (4) expenses on a single Dependent Day Care Claim Form, using a separate line for each expense. Please fax (fastest process) OR mail the documents (keep a copy) but please DO NOT DO BOTH.
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). You should contact a tax preparer for more details.
For s FAQs Start by filling in the childs name, date of birth, and address. Include the name and address of the child care provider. Fill in the start and end dates of the child care period. Write in the hours of care and the amount paid.
Receipts must state the provider name, provider contact information, the dependent name, service dates (begin and end), a description of the service and the expense amount. A credit card receipt or canceled check is not adequate documentation.
Pay your provider with your preferred payment method and save your receipts or documentation. You can only be reimbursed for care that has already been received, so wait until the period of care youve paid for has passed. Then log into your online account and submit a claim for reimbursement.

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You need to have the most basic information, like the date you provided the tax receipt. You should also list your daycare provider information. This includes your name or your daycares name, along with your address, phone number and email address. Write the name of the child receiving care at your center.
Shopping at FSA Store and submitting receipts for your FSA: On the form you submit for reimbursement from your FSA, youll need to include personal details and information about the product or service you receive, any amounts owed and the date of the service provided.

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