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R the month, year, and the totals for the month from the Detail Sheet in each column. Do not include any health insurance premiums. You must submit the records supporting your claim (bills, receipts, explanations of benefits, cancelled checks, etc). DCS will disclose the expense records to the parent who is required to pay. Delete any personal information from the records that you do not want disclosed. Keep the originals or copies (with all information visible) of the records for future use. Ad.

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