Childcare Reimbursement Form

Please fill out one form per session. Form must be submitted within 30 days of the session.
 
Childcare expenses are processed in the following ways:
  1. We reimburse parents at a set rate for the cost of an individual babysitter.
  2. One childcare reimbursement form is to be filled out by each couple/parent per session attended and submitted within 30 days of the session.
  3. A check will be issued and mailed to each couple/parent within 3-4 weeks.
Individual Reimbursement Chart(For individual sitters, please use this chart)
  1 hour 2 hours 3 hours 4 hours
1 child $6.50 $13.00 $19.50 $26.00
2 children $7.00 $14.00 $21.00 $28.00
3 children $7.50 $15.00 $22.50 $30.00
4 children $8.00 $16.00 $24.50 $32.00
Group sitting of 5 or more children will be paid at a rate of $8.50 per hour.

Your Information

Reimbursement Information

Campus *
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