University Of Michigan Benefits Office

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Flexible Spending Accounts

Dependent Care

Dependent Care Expenses Worksheet

Flexible Spending Accounts
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Dependent Care Expenses Worksheet

Print this worksheet is to help you estimate your dependent care expenses for 2008, or use the SHPS online FSA calculator.

Type of Expenses	2007 Expenses You Paid	Estimated 2008 Expenses You will pay
Infant/toddler
Preschool
Before-school and/or after-school care
Reporting days (child in school only half day)
School holidays and vacations
Summer day camp*
Elder care

* These expenses must be at a comparable level to other types of providers of day care. Expenses for overnight camps are not reimbursable.

Every effort has been made to ensure the accuracy of the benefits information in this site. However, if any provision on the benefits plans is unclear or ambiguous, the Benefits Office reserves the right to interpret the plan and resolve the problem. If any inconsistency exists between this site and the written plans or contracts, the actual provisions of each benefit plan will govern. The University in its sole discretion may modify, amend, or terminate the benefits provided with respect to any individual receiving benefits, including active employees, retirees, and their dependents.