Dependent Care Reimbursement Account Claim Form
Please use this form to request reimbursement for dependent day care expenses.
Questions about a claim? Please contact WageWorks at 877-924-3967.
| Form Name | Format |
|---|---|
| Dependent Care Reimbursement Account Claim Form (can be filled in electronically) |
* Some Duke HR forms may require you to list your Duke Unique ID. If you do not know or are unsure of your Duke Unique ID, you can look it up here.
** Some forms available on this web site are in Adobe Portable Document Format (PDF). You will need Adobe Acrobat Reader to view and print these forms.
** Some forms available on this web site are in Adobe Portable Document Format (PDF). You will need Adobe Acrobat Reader to view and print these forms.