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Employee Childcare Subsidy Application - Free HR Template | ZenBuild | ZenBuild

Templates→HR→Employee Childcare Subsidy Application

Employee Childcare Subsidy Application

Apply for a company-sponsored childcare subsidy or dependent care flexible spending account contribution.

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Employee Childcare Subsidy Application

Apply for a company-sponsored childcare subsidy or dependent care flexible spending account contribution.

Employee Full Name*

Employee Email*

Employee ID*

Department*

Child's Full Name*

Child's Date of Birth*

Name of Childcare Provider*

Childcare Provider Address*

Monthly Childcare Cost (USD)*

Proof of Childcare Enrollment*

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Template Details

CategoryHR

IndustryHuman Resources

Fields11

Uses0

Views1

childcarebenefitssubsidydependent care