Dependent Care FSA Worksheet
The following worksheet is provided to assist with the planning of your Dependent Care FSA contribution. Before making a decision, you may wish to review what you spent on dependent care last year.
First, estimate your total expenses. If you are enrolling during the open enrollment period, use the chart below to calculate your expenses for next calendar year. If you are joining the program during the year (that is, after the open enrollment period is over), use the chart to calculate your expenses for the remainder of the calendar year.
Remember, only those expenses for dependent care services that allow you and your spouse to work are eligible to be reimbursed through the Dependent Care FSA.IRS regulations state that whether an expense is eligible or not will depend upon the facts and circumstances of each case.