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If this form requires notarization, complete it online through a secure video call—no need to meet a notary in person or wait for an appointment.

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If you hire someone to care for a dependent or your disabled spouse, and you report income from employment or self-employment on your tax return, you may be able to take the credit for child and dependent care expenses on Form 2441.
Persons who receive services under the IHSS program are generally not required to register directly with the EDD. The County Welfare Department or the State Department of Social Services is responsible for the reporting of these workers.
IRS Form 2441 is completed by the taxpayer to report child and dependent care expenses paid for the year. This form must be filed if you're planning to claim a credit for child and dependent care expenses.
Be sure to put your name and social security number (SSN) on the statement. In this situation, all the lines on line 1 of Form 2441 must be completed with information for the three highest paid providers. The attached statement must provide the same information for the additional providers not listed on the form.
The child and dependent care credit allows you to reduce the income tax you owe based on some of the expenses you incur for paying someone to provide care to your child or other dependent. But in order to take the credit, you must prepare Form 2441 with your tax return and satisfy some eligibility requirements.