The TASC dependent care reimbursement form is a single page with eight fields, and TASC processes most submissions the same day they arrive.1TASC. Flexible Spending Account – Employee Healthcare Benefits What determines whether your claim clears or gets kicked back is almost never the form itself. It’s the receipt you attach.
What to Enter on the Form
The form asks for the following, and nothing more:2TASC. Dependent Care Reimbursement Form
- Your Participant TASC ID, which appears on your TASC card, in the MyTASC portal, and on your enrollment confirmation. Your Social Security Number is not requested.
- Client Name, meaning your employer as it appears in the TASC system.
- The dependent’s full name.
- Dates of service, meaning the start and end of the care period. Both dates must fall inside your current plan year.
- The request amount, which has to match the total on your receipt or the amount your provider certifies.
- A checkbox indicating a receipt is attached.
- The provider signature section, used only when you cannot get a formal receipt.
- Your signature and date. Without it, the form does not get processed.
You can list multiple service periods on one form if the provider and dependent are the same. Different provider or different dependent means a separate form.
The Receipt Is Where Claims Live or Die
A dollar amount by itself is not enough. TASC’s enrollment materials list the four things the IRS expects to see on a dependent care receipt:3TASC. 2026 Employee Reimbursement Account Enrollment
- The dependent’s name.
- The specific service dates.
- The payment amount and the type of care.
- The provider’s name, signature, address, and SSN or TIN. The taxpayer identification number is the piece providers most often leave off, and the IRS uses it to confirm the provider reported the income.
Credit card statements and canceled checks do not qualify. They show you paid something, but not what you paid for or who received the care.
If your provider will not or cannot generate a receipt with all of those details, the workaround is on the form itself. Have the provider fill in, sign, and date the Provider Certification section. That signature substitutes for the receipt.2TASC. Dependent Care Reimbursement Form
How to Submit
Four channels are available. The digital ones are considerably faster.
MyTASC Mobile App
Photograph the completed form and the receipt with your phone and send them through the app. Nothing else to fill out inside the app. If the image is too blurry to read, the app will flag it.4TASC. MyTASC Employee Benefit Management Platform
MyTASC Online Portal
Log in, open the reimbursement request section, and attach scanned PDFs or JPGs of the form and receipt. The portal keeps a running history of submissions, which helps when you’re tracking how much of your annual election you’ve used.
Fax or Mail
The fax number and mailing address are printed at the bottom of the form. Mailed claims run slower because TASC has to receive and scan the paper before review starts.5TASC. TASC FlexSystem Employee Renewal Kit Keep copies of everything you mail.
When You’ll Get Paid
Digital claims are usually processed the same day, often within 12 hours.1TASC. Flexible Spending Account – Employee Healthcare Benefits Paper takes longer at the front end because of mail and scanning.
One rule that catches people out: dependent care FSAs do not use uniform coverage. Your reimbursement cannot exceed the balance actually sitting in your account when you file.1TASC. Flexible Spending Account – Employee Healthcare Benefits If you elected a full year’s contribution but payroll has only funded a few periods so far, you’ll only be paid up to what’s been deducted. Large claims early in the plan year get paid in installments as more deductions come in.
Once a claim is approved, payment goes through the method you picked at enrollment. Direct deposit typically clears within 48 hours.6Total Administrative Services Corporation. How to Submit a Claim Online Some plans load approved amounts onto the TASC card, usually within a day or two, and the card can be used at authorized providers.7TASC. TASC Card and MyCash FAQs
Why Claims Get Denied
TASC publishes a denial code list. For dependent care, the ones that come up over and over are:8TASC. Request Denial Codes and Verification Requirements
- No documentation uploaded. The form went in without the receipt or provider signature.
- Insufficient documentation. The receipt is missing a required detail, most often the provider’s TIN or the service dates.
- Documentation unreadable. Blurry, cut off, or low-resolution.
- Service date outside eligibility. TASC uses the date the care happened, not the date you paid.
- Ineligible expense. Overnight camp is the frequent offender.
- Duplicate request. If it isn’t actually a duplicate, contact support with an explanation.
- Maximum benefit paid. You’ve already been reimbursed up to your annual election.
- Run-out ended. You filed for a prior plan year after the filing window closed.
The denial notice tells you which code applied and what to fix. Almost every denial in this list is recoverable: a cleaner scan, a provider TIN, or a signature on the certification section.
What Counts as an Eligible Expense
The IRS restricts dependent care FSA reimbursements to care that lets you work or look for work. Educational or recreational expenses do not qualify even when supervision is part of the package.
Eligible categories include day care centers and in-home care, preschool and nursery school, before- and after-school programs, summer day camps, care by a nanny or au pair, sick-child care programs, and transportation when your provider furnishes it.9FSAFEDS. Eligible Dependent Care FSA (DCFSA) Expenses
Not eligible: overnight camps, kindergarten tuition and tuition for first grade and above, transportation you arrange yourself, food and clothing charged separately by the facility, and late or registration fees. The overnight-camp exclusion is the one people get wrong most often. A week of day camp is fine; a week of sleepaway camp is not, no matter what it costs.9FSAFEDS. Eligible Dependent Care FSA (DCFSA) Expenses
Filing Deadlines
Dependent care FSAs follow use-it-or-lose-it. Anything left after the plan year and any applicable grace period is forfeited.10FSAFEDS. Dependent Care FSA
Two post-year windows may extend your time, if your employer’s plan includes them:
- A grace period of up to 75 days after the plan year, during which you can incur new eligible expenses and draw on prior-year funds.
- A run-out period of up to 90 days after the grace period ends, during which you can file claims for expenses already incurred.
Each employer sets the exact length, so check your plan documents or ask HR.1TASC. Flexible Spending Account – Employee Healthcare Benefits File after the run-out closes and TASC will deny the claim with a Runout Ended code, however legitimate the expense.8TASC. Request Denial Codes and Verification Requirements