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ZBXDKPV SECTION 1 EMPLOYEE INFORMATION PROGRAM NAME EMPLOYEE USER ID No dashes INTERNAL USE ONLY FSAFEDS EMPLOYEE LAST NAME EMPLOYEE FIRST NAME DAYTIME PHONE Area code first no dashes EMPLOYEE EMAIL SECTION 2 YOUR DEPENDENT CARE EXPENSES EXPENSE 1 START DATE OF SERVICE MMDDYY PROVIDER TAX ID OR SSN Enter all 9 s if tax-exempt AMOUNT REQUESTED DOLLARS.

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You Must Have Earned Income. To claim the credit, you (and your spouse if filing jointly) must have earned income during the year. Earned income. Earned income includes wages, salaries, tips, other taxable employee compensation, and net earnings from self-employment.

If you paid a daycare center, babysitter, summer camp, or other care provider to care for a qualifying child under age 13 or a disabled dependent of any age so that you could work, you may qualify for the Child and Dependent Care Credit.

Yes, you may claim the child tax credit (CTC)/additional child tax credit (ACTC) or credit for other dependents (ODC) as well as the child and dependent care credit on your return, if you qualify for those credits.

To be considered qualified, dependents must meet the following criteria: Children under the age of 13. A spouse who is physically or mentally unable to care for him/herself. Any adult you can claim as a dependent on your tax return that is physically or mentally unable to care for him/herself.

The child must be: (a) under age 19 at the end of the year and younger than you (or your spouse, if filing jointly), (b) under age 24 at the end of the year, a full- time student, and younger than you (or your spouse, if filing jointly), or (c) any age if permanently and totally disabled.

in Publication 503, Child and Dependent Care Expenses, which describes an exception for certain taxpayers living apart from their spouse and meeting other requirements. The amount of the credit is a percentage of the amount of work-related expenses you paid to a care provider for the care of a qualifying individual.

You may be able to claim the child and dependent care credit if you paid expenses for the care of a qualifying individual to enable you (and your spouse, if filing a joint return) to work or actively look for work. Generally, you may not take this credit if your filing status is married filing separately.

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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