How to Submit a Dependent Care FSA Claim


Dependent Care FSA participants – knowing what documentation you need to submit with a claim is important so your claims are approved. Below is an outline of how to successfully submit a claim for reimbursement.

If you need a quick refresher on what the Dependent Care Flex Spending Account is, check out this overview.


Checklist: What You Need to Include with Your Dependent Care FSA Claim

Dependent Care claims must include the following documentation:

  1. Completed claim form with employee signature
  2. Invoice/receipt from service provider* (see below)
  3. If an invoice/receipt from your provider is unavailable or does not include all the info below, ask your provider to sign your claim form in the provider signature box. The claim form must include service start and end dates. The provider-signed claim form will be accepted in lieu of an invoice/receipt. To access your claim form, log into your P&A Group account and select Claim Form under Quick Links.

*Your itemized invoice/receipt from your service provider must include:

  • Service start/end dates
  • Provider name
  • Service description
  • Amount


Claim Options

There are several ways to submit a Dependent Care FSA claim to P&A Group.

Option 1 – Mobile App

Upload your Dependent Daycare FSA claims quickly through P&A Group’s MyBenefits mobile app.

Option 2 – Upload Claims

Upload a claim and receipt by logging into your account at  Select Upload Claim/Documentation under Member Tools and follow the prompts on your screen.

Option 3 – Fax or Mail a Claim

Log into your account at and complete a claim form (located under Forms).  Then fax or mail it to P&A Group, along with a copy of your invoice/receipt.

Fax: (877) 855-7105 | Mail: 6400 Main Street, Suite 210 Williamsville, NY 14221

Important Reminder: your receipt MUST include the service provider start and end dates.


Sample Dependent Care Eligible Expenses

  • Nursery schools, day care centers
  • Summer day camps
  • Before and after school care
  • Day care centers
  • Senior day care


Sample Ineligible Expenses

  • Overnight camps
  • Nursing homes
  • Late payment fees
  • Expenses incurred for purposes other than allowing you (or your spouse) to work
  • Educational expenses such as classes, tutoring and enrichment programs


How to Get Reimbursed

The fastest and easiest way to receive your money is by signing up for direct deposit!  When you enroll in direct deposit, your funds are automatically deposited into your checking or savings account when you enroll in direct deposit.  Sign up for direct deposit by logging into your P&A Group Account and selecting Direct Deposit.

If you don’t sign up for direct deposit, you will receive a reimbursement check at your home mailing address.

Pro Tip: You can submit for the total amount incurred with your claim, even if it is more than your monthly allocation amount.  P&A automatically reimburses you once your Dependent Care FSA is replenished with your payroll deductions. This reduces the amount of claims you need to submit each year.

Example: Jen elects $5,000 in the Dependent Care FSA. She incurs $1,000 per month in after-school care expenses for her nine year old son.  Instead of submitting one claim every month for her allocation amount (in this example, it’s $416.67), Jen submits one claim for $1,000 every month until the total incurred in after-school expenses reaches $5,000.

P&A reimburses Jen automatically every month once her Dependent Care account is funded with her payroll deductions. This reduces the amount of claims Jen has to submit. And, Jen has peace of mind knowing her claim automatically pays out every month!


P&A Group Participant Support Center

Still unsure about your claim? Chat with a P&A Group agent online through live chat, or give us a call at (716) 852-2611.

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