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Excess contributions not used for this year's child-care reimbursements will be distributed to all participants in the child-care plan based on % of contribution. Your unused contributions will not be returned individually to you, so set your contribution modestly.  

Enrollment Form

• 2017 Open Cafeteria Plan Enrollment Form

FAQ

Q: When are child-care reimbursements paid?

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• 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 finance@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.org.

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