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Get Dependent Care Receipt

Instructions: This form may be used by a caregiver or provider of service as a receipt for qualified dependent care services provided. Be sure to provide all information requested by this form. If the form is incomplete, it will be returned to you. Print or type the information requested. Then date and sign the form. Send this form along with the Dependent Care Reimbursement Request Form to: MedBen, Specialty Services Unit, P. O. Box.

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The times of frightening complex legal and tax forms are over. With US Legal Forms the entire process of submitting legal documents is anxiety-free. The best editor is directly close at hand providing you with a range of useful instruments for filling out a Dependent Care Receipt. These tips, in addition to the editor will guide you with the whole procedure.

  1. Click on the Get Form option to start enhancing.
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  4. Ensure that the information you add to the Dependent Care Receipt is updated and correct.
  5. Include the date to the sample with the Date tool.
  6. Select the Sign icon and create an e-signature. You will find 3 available choices; typing, drawing, or capturing one.
  7. Make sure that every field has been filled in properly.
  8. Select Done in the top right corne to save or send the record. There are many alternatives for getting the doc. As an instant download, an attachment in an email or through the mail as a hard copy.

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