Austin claim form 2026

1. Click ‘Get Form’ to open the austin claim form in the editor.
2. Begin by filling out Section A: Employee Information. Enter your name, social security number, date of birth, and mailing address. Indicate if this is a new address.
3. Proceed to Section B: Dependent Care Information. List each dependent's name, relationship, date of birth, and their care provider details. Ensure all fields are completed accurately.
4. In Section C, if you lack an itemized receipt, have your dependent care provider complete this section. They must provide their name, tax ID number, dates of service, amount paid, and sign it.
5. Finally, review Section D: Employee Certification. Read carefully before signing and dating the form to confirm that all information is correct and that you understand the reimbursement process.

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