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Get Dependent Care Claim Form - Callutheran

Documentation clearly indicates the requested amount. You must submit a claim for each reimbursement. You may not submit one claim at the beginning of the year for the entire plan year. Eligible expenses are defined in your Summary Plan Description. Such expenses include, but are not limited to afterschool care, extended day programs, au pair services, babysitter in or out of the home, nanny day care expenses, sick child facility, and summer day camp for your qualifying child who is age 12 or u.

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