Get Get And Sign Ps Form 3602 R - Fill Out And Sign Printable ...

Filling out the Get And Sign Ps Form 3602 R is a straightforward process that allows users to request reimbursement for dependent care expenses. This guide provides clear, step-by-step instructions to help you complete the form accurately and efficiently online.

Follow the steps to successfully complete your reimbursement request.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering your personal information in the Employee (Participant) Information section. This includes your last name, first name, home address, phone number, and email address. Ensure all details are filled out clearly and accurately.
3. In the DeCAP Reimbursement Requests section, you will list the dependents for whom you are requesting reimbursement. For each dependent, provide their last name, first name, all date(s) of service in mm/dd/yy format, type of service, and the reimbursement amount requested.
4. For each service period, include the provider's name, provider's address, and their federal tax ID or social security number. Be sure to check that all information aligns with your receipts.
5. After completing the details for all dependents, calculate the total reimbursement amount requested and enter it in the designated area.
6. In the Employee (Participant) Signature section, verify that all information provided is accurate. Sign and date the form to confirm your request.
7. Once you have filled out all the necessary fields, review the entire form for any mistakes. If everything looks correct, you can save your changes, download, print, or share the form as needed.

Complete your dependent care reimbursement request online today.