Dependent Care Reimbursement Account Request Form UMR
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People also ask
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What documentation is needed for dependent care FSA?
Supporting documentation for your claim should be an itemized statement from the dependent care provider that includes: service date(s), the dependent's name, the type of service, amount billed, and provider's name and address. You may not submit a canceled check as supporting documentation.
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How do I submit a receipt for dependent care FSA?
Place the documents in this order: Dependent Child Care FSA Claim Form first, then the receipt, if available. Please do not return the instruction pages with your claim. Fax to: 866-392-4090 (toll-free) or 678-762-5900. OR Mail to: ADP Claims Processing, P.O. Box 1853, Alpharetta, GA 30023-1853.
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How do I access my dependent care FSA funds?
Funds for your DC-FSA will be withheld from your paycheck. To access your money, you can typically pay dependent care expenses with a debit card connected to your account, or you can pay providers directly through your online portal. You may also be able to submit receipts and file a claim for reimbursement.
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How do you get reimbursed through a dependent care account?
Claims are processed within two business days, and you can choose to be reimbursed through direct deposit or by having a check mailed to you. There is no fee to you if you choose to have the money directly deposited into your bank account.
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