Follow the steps to successfully complete the CA DPA 351 form.

1. Click the ‘Get Form’ button to access the CA DPA 351 form and open it for editing.
2. Fill out the Employee Information section, including your name, Social Security Number, mailing address, and daytime phone number. Make sure all information is accurate and current.
3. In the Dependent Care Reimbursement Account section, provide details about your dependent. This includes their name, age, the care provider's information, and the dates care was received. Remember, only claim expenses for dependents under the age of 13 or those unable to care for themselves.
4. Complete the Medical Reimbursement Account section. List the date medical care was provided, the name of the medical provider, a description of the medical expense, and the relationship of the person for whom the expense was incurred.
5. Make sure to attach a detailed statement of services or an insurance explanation of benefits for each medical expense claimed, as credit card receipts are insufficient.
6. Review all entries and ensure your signature and date of signing are written at the bottom of the form, confirming the accuracy of the information provided.
7. Finally, save your changes, and choose whether to download, print, or submit the form online.

Take the next step and complete your CA DPA 351 form online today!