Follow the steps to effectively complete the reimbursement form.

1. Click ‘Get Form’ button to access the Acclaris Ibm form and open it in your preferred editor.
2. Begin by filling in the personal information section. This includes your name, contact information, and the last four digits of your social security number.
3. Complete the 'Person Who Received the Care' section by providing the name of your eligible dependent who received care.
4. Fill in the 'Covered Period' section by indicating the start and end dates for the care provided.
5. In the 'Care Provider Name' section, provide the name and address of the care provider offering services.
6. Document the total amount of your dependent care claim by writing the sum in the 'Total Dependent Care Claim' field.
7. For each care provider, include their tax ID number and ask them to sign the form where indicated.
8. Read the certification and date section carefully. Sign and date the form to acknowledge that all information provided is accurate.
9. Once you have filled in all sections, ensure all receipts are attached as proof of payment, and save your changes.
10. Finally, you can download, print, or share the completed form as necessary.

Complete and submit your Acclaris Ibm reimbursement request online for efficient processing.