Page History
...
- The top portion of the form: Name, FD#, address, etc.
- Amount of reimbursement: enter the full amount of the child care paid for dates of service
- Dates of service: Enter starting and ending dates (we ask that the form be for only one month of service, same as for reimbursements)
- Type of Service Provider: Select either Individual or Business
- Service Provider Name: Name of individual or business providing the child care
- Service Provider Address/Phone
- Service Provider Employer ID: If you selected "Business" as the type of provider, this will be the business employer ID #
- Check the boxes that apply (per instructions on the form)
- Use the Receipt tab to include a scan or photo of your child-care expense receipt
- Share the form with reimbursements@reliant.org (using your reliant.org email address). If you haven't added the receipt to the Receipt tab, email the scan(s) as attachments to finance@reliant reimbursements@reliant.org.
...
Include Page | ||||
---|---|---|---|---|
|