Recurring Expense Form DCAP - Administrative Services for 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out the 'Declaration of Services' section. Enter the start and end dates for the qualified dependent care services, ensuring accuracy in your entries.
3. In the same section, provide the total amount of services rendered during the specified dates. Attach any necessary documentation from your dependent care provider that supports this claim.
4. Next, complete the 'Participant Information' section. Fill in your employer's name, your personal details including last name, first name, address, social security number, and contact information.
5. Proceed to the 'Care Provider Information' section. Here, input the name and address of your dependent care provider along with their Federal Tax ID.
6. Finally, ensure both you and your provider sign and date the form in the 'Signatures' section. Remember that claims will not be processed without these signatures.

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