Form W-10, Dependent Care Provider's Identification and Certification

You may use this form to get the correct name, address and taxpayer identification number (TIN) from each person or organization that provides care for your child or other dependent if:

Form W-10 (PDF)

All Form W-10 Revisions

• You plan to claim a credit for child and dependent care expenses on Form 1040 or 1040-SR, or
• You receive benefits under your employer’s dependent care plan.