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Program Forms and Materials

Program Guidelines

The UA Childcare Choice Employee Reimbursement Program for Qualified Childcare Expenses Program Guidelines identifies the purpose of the program, and how employees eligible for full benefits may receive reimbursements for qualifying, work-related childcare expenses occurring in Arizona.
 

Enrollment Verification Form

The Enrollment Verification Form identifies a child’s enrollment with a childcare provider. Completed by the provider, this form is submitted by the employee as part of the E-Application process. As applicable, separate or new Enrollment Verification Forms are needed for multiple childcare providers, or when there are provider changes.  Additional Enrollment Verification Forms should be emailed to CCEmployee@email.arizona.edu.
 

Cost Form

The Cost Form verifies the employee’s childcare payment over a specific period, to the childcare provider. Completed by the provider, this form is submitted by the employee for applicable reimbursement. See below for employee reimbursement information.
 

Reimbursement Calendar

The Reimbursement Calendar identifies monthly and quarterly Monthly Cost Form submittal deadlines and applicable pay periods for reimbursement. Such forms may be submitted as frequently as every two weeks, and must be submitted at least once a quarter.
 
Retroactive reimbursements from earlier quarters are not allowed. Quaifying reimbursement submittals and reimbursement payments must occur during one’s active employment with the University, and in the corresponding July 1-June 30 fiscal year period. There are no exceptions.
 

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