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How to fill out the Avantserve online
Filling out the Avantserve Dependent Care Reimbursement Claim Form can be straightforward if you follow the proper steps. This guide provides comprehensive instructions to help you navigate the online form effectively.
Follow the steps to complete your claim form accurately
- Press the ‘Get Form’ button to download the dependent care reimbursement claim form and open it for editing.
- Fill out the Employer Information section by entering your employer's name and the Plan Year beginning and ending dates.
- Complete the Employee Information section by providing your name, social security number, address, and email address.
- In the Dependent Care Expenses section, list the period of service, provider's name, recipient of the expense, recipient's date of birth, expense type, relationship of the recipient to you as the employee, and the amount you are requesting.
- Once you have listed all claims, total the amounts and enter the total amount in the Total Reimbursement Requested box.
- Carefully read the Dependent Care Expense Certification statement, then sign and date the form to affirm its accuracy.
- Present the completed form to your Dependent Care provider for the Dependent Care Claim Substantiation Statement, or include photocopies of your substantiation documents with the claim form without stapling them.
- Ensure all substantiation documents are provided in an 8 ½" x 11" format, including necessary information such as provider name, date and period of services, recipient of the service, description of service provided, and amount.
- Finally, submit your claim form and documentation as required for processing.
Complete your claim forms online today for hassle-free reimbursement.
Avant verifies your income through several methods, including reviewing your uploaded financial documents and sometimes contacting your employer. This process ensures the information you provide is both accurate and comprehensive. With Avantserve, you can effectively manage this verification and keep your application moving forward.
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