Follow the steps to complete your childcare claim form online

1. Click ‘Get Form’ button to obtain the form and open it in your preferred editing tool.
2. Begin by entering the childcare provider information. Include the childcare provider number, select 'Not for Profit' or 'For Profit', and provide the childcare facility name, address, telephone number, province, and city.
3. Next, fill in the plan member information. Enter the employee’s last name, child's name, postal code, employer, child’s Green Shield ID number, the child's date of birth, and the address.
4. Indicate if you have any other childcare coverage by checking 'Yes' or 'No'. If 'Yes', provide the details of the other Green Shield plan or government subsidy, and attach relevant documents if required.
5. Complete the claim information section. Specify the claim submission period by entering the start and end date, and list the facility rates for half days and full days. Indicate the number of half days and full days being claimed.
6. Calculate the total amount charged by the facility based on the rates provided and the number of days claimed. Include the total amount of any government or other subsidies received during this period.
7. In the certification section, the employee or parent/guardian must sign and date the form to certify the accuracy of the childcare services listed.
8. If applicable, the authorized facility representative must also sign and date the form, confirming the childcare charges and agreeing to reimburse the plan member directly.
9. Finally, review the completed form for accuracy. Save your changes and choose to download, print, or share the form as necessary for submission.

Complete your Canada GSC Childcare Claim Form online today to ensure timely processing of your childcare expenses.