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Get Wex Dependent Care Verification Form 2016-2024

Ease note that this form does not replace the need to submit a dependent care claim. Rather, it is intended to accompany your dependent care claim and serve as a substitute for the documentation required to substantiate that claim. No reimbursements will be made if this form is not uploaded to a claim or accompanied by the appropriate form. This form is to be completed by your provider after dependent care expenses have been incurred and should be used in place of dependent care documentation. A.

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