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Bsite: www.etfodotl.com DEPENDENT CARE EXPENSE CLAIM FORM Member s Name: Address: City: Postal Code: Phone: Dependent Children: Name: Age: Name: Age: Name: Age: Name: Age: Dependent Adult: Name: Guidelines for Payment: Payment shall not exceed $25.00 per event. Payment for childcare is limited to dependents 12 years of age and under. Payment for adult dependent care is limited to an adult whose care is the responsibility of the member.

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Dependent Care Benefits (reported on a W-2 form) is an option employers can provide for their employees for the purpose of withholding pre-taxed money from each paycheck to help pay for the care of a child, spouse, or other dependent adult who lives in their household.

How Much of Your Child Care Expenses Can You Claim? Canadian taxpayers can claim up to $8,000 per child for children under the age of 7 years at the end of the year. $5,000 per child for children aged 7 to 16 years.

Like other FSAs, the dependent care FSA allows you to fund your account with pretax dollars. But this account is for eligible child and adult care expenses. This includes preschool, nursery school, day care, before and after school care and summer day camp. It's the care your family needs, while you're at work.

Since the child care services are being provided by a person under 18 years of age who is related to you, you are not entitled to make a claim for child care expenses.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232