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2025 Care Dependent Request
2025 Tax Year
As we approach tax season, we are preparing to provide the necessary information for the
Dependent Care Tax Credit
. If you require a
Dependent Care Tax Form
for your records, please fill out the form below.
* Indicates required question
Email
*
Your email
What's Your Child/ren Name
*Please include a comma between Children.
*
Your answer
Is your child/ren a current student at Brentwood Child Care The Foundation Of Knowledge.
*
Yes
No
Dates the child was enrolled during the tax year (start–end).
Ex: Jan. 2025 - Dec. 2025
*
Your answer
Are you requesting this for
*
Personal tax filing
Joint filing
Other:
Do you have a current or past due balance on your account.
*If your account is outstanding, we will not be able to provide you with a Tax Statement until Paid in Full.
*
Yes
No
Unsure
Did you make payments through
*
Brightwheel
Cash
Check/Money Order
Website Payment Portal
Multiple methods
Has anyone else paid towards your child's account?
*
Yes
No
Please list the names of any other payers on your account.
*If none, please skip this question
Your answer
What are you requesting?
*
Year-end payment summary
Provider Tax ID / EIN
Signed W-10 form
Other:
Required
I understand that processing may take 10 business days and that only payments actually received during the tax year will be included.
*
Yes
And lastly, what's your full name?
*
Your answer
A copy of your responses will be emailed to the address you provided.
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