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What to include
- Name of the caregiver or provider
- Name of the parent or payer
- Child's name or initials, if the parent wants it shown
- Dates or period of care
- Total paid and the payment method
- Provider's tax ID where required
Tips
- Issue one per pay period or one at year end listing all dates.
- Keep the totals matching the payments you actually received.
- Check what your tax rules need for dependent care.
Questions
What does a parent need for a dependent care claim?
Requirements vary. Many programs ask for the provider's name, address, tax ID and the amounts paid. Check your program or tax authority.
Can I list several weeks on one receipt?
Yes. List each week or date range as its own line with the amount paid.
More receipt templates
Related guides
This template is general information. Requirements for receipts vary by place and industry, so check local rules or ask an accountant.