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. 
Email *
  What's Your Child/ren Name  
  *Please include a comma between Children.   
*
Is your child/ren a current student at Brentwood Child Care The Foundation Of Knowledge.  
*
Dates the child was enrolled during the tax year (start–end).

 Ex: Jan. 2025 - Dec. 2025
*
Are you requesting this for
*
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.
*
Did you make payments through
*
Has anyone else paid towards your child's account?  
*
Please list the names of any other payers on your account. 
*If none, please skip this question
What are you requesting?
*
Required
I understand that processing may take 10 business days and that only payments actually received during the tax year will be included.
*
  And lastly, what's your full name?  
*
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report