What information is needed for my Dependent Care FSA claim?

Request for Reimbursement Form: Complete the Dependent Care section of the Request for Reimbursement Form and have your daycare provider sign and date.

– Receipt: The receipt must include the following information:

– Name, address and Tax Identification # of provider

– From/through dates of service

– Amount of charge


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Posted on

September 15, 2021

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