Newborn benefit, Informal Child Care benefit, or Elder/Disabled Care benefit

Following an email or text that you are granted a benefit, provide us with the following information:

• Benefit Affidavits : Complete online on your member page.
• W-4 Form
• Proof Of Payment For Informal or Elder/Disabled Care: Find these forms in Forms & Handouts and upload them onto your member page.

Preschool Child Care benefit, School-age Child Care benefit, or Youth Program benefit

Before you receive a reimbursement, provide us with the following information:

• Benefit Affidavits : Complete online on your member page.
• Proof of Payment for Preschool, School-Age Child Care, Youth Program: Find these forms in Forms & Handouts and upload them onto your member page.
• Original Receipts: Upload receipts for granted services onto your member page following the schedule in the table above.

You must submit a W-4 Form ONCE at the beginning of the Plan year before you can receive your first reimbursement.