Child Care Reimbursement Payments

DEPARTMENT OF ADMINISTRATIVE & FINANCIAL SERVICES
Bureau of Employee Relations
Telephone (207) 287-4447
FAX (207) 287-4452 TDD (207) 287-4537

No.: OSER-38

Date: January 13, 1988

SUBJECT: Child Care Reimbursement Payments

TO: All Holders of Employee Relations Manual

FROM: Kenneth A. Walo, Director

Pursuant to the 1987-89 MSEA and AFSCME contracts, employees may be eligible for a child care reimbursement payment. (This benefit has also been extended to confidential employees). A copy of the contract language and the Application Form is attached. The application procedure is as follows:

1. The employee must complete Section A of the Application Form and attach a copy of their 1987 Form 1040/1040A/1040EZ. If the employee is married but filing separate returns (and is not filing as Head of Household), then the Form 1040/1040A/1040EZ of the employee and the spouse must be attached. A copy of the 1987 receipt for employment-related childcare expenses must also be attached. The receipt should indicate the period of time care was provided and contain the amount paid and the name, home address, phone number and signature of the child care provider. The Application Form and attachments are then submitted to the Department/Agency Personnel Office. (Note: The Adjusted Gross Income is: on Form 1040-line 30; on Form 1040A-line 12; on Form 1040EZ-line 3).

2. The Departmental Personnel Officer is responsible for completing Section B and for verifying that the information provided in Section A is accurate. The DPO is also responsible for keeping a copy of the completed Application Form and the attachments on file and available. Two copies of the Application Form are to be submitted to Accounts and Control.

3. Accounts and Control is responsible for processing the childcare reimbursement payments. Applications will be processed for payment by Accounts and Control from March 1 through April 15 of each year. Applications received prior to March 1 will not be processed until March 1 or thereafter. Applications will not be processed after April 15 and all payments will be made by April 30. Accounts and Control will send one copy of the Application Form to the Bureau of Employee Relations.

All questions regarding this procedure should be directed to the Office of Employee Relations. Thank you.

Attachments

ARTICLE _____ CHILD CARE

A. Effective January 1, 1988, full-time employees who meet all of the following criteria shall be eligible for a lump sum payment of five hundred dollars ($500.00) payable between March 1 and April 15, 1988, and during the same period each subsequent year.

Employed full-time since January 1, 1987, and January 1 of each year thereafter;

Full-time State employees employed for more than six (6) months but less than twelve (12) months from January 1, 1987 and each year thereafter are eligible for this program on a prorated basis;

Part-time and seasonal employees covered by this Agreement who have completed one thousand forty (1,040) hours of regularly scheduled work in any calendar year after January 1, 1987 shall be eligible for this program for the calendar year in which they qualify on a prorated basis;

Had an adjusted gross family income of less than $25,000 for the previous calendar year; and

Had a minimum of five hundred dollars ($500.00) employment-related childcare expenses for the previous calendar year.

B. Employees must submit a copy of their Form 1040 and a copy of their receipt for child care expenses for the calendar year 1987 and each subsequent year to be eligible for reimbursement.

APPLICATION FOR CHILD CARE REIMBURSEMENT

SECTION A - (To be completed by Employee)

Name ____________________________ Dept._______________________________________________
Address __________________________ Agency_____________________________________________
SS# _____________________________ Work Phone #______________________________________
Number of wage earners in family ______/Number of children receiving child care _____
_____/Adjusted gross income __________/Period employed by State during past calendar year: from _____to _____/Full-time ________/Part-time ________/Seasonal ________/Number of regularly scheduled hours per week_________________________________________

I certify that the above information and the information on the attached Form 1040/1040A/1040EZ and Child Care Expense Receipt is accurate.

_______________________________________________________ __________________
Signature Date

SECTION B - (To be completed by Department Personnel Officer:

_____________________________ ___________________________ __________3973_________
Appropriation Activity C&O

A. Full-time Employees

Eligible full-time employees who worked 12 months during the prior calendar year receive the full benefit of $500. Full-time employees who worked at least six but less than 12 months are eligible for a pro-rated benefit. If an employee is in pay status a minimum of 10 days during the month, that month is credited. The full-time benefits are as follows: (check one)

6 months _____ $250.00 10 months _____ $416.70
7 months _____ $291.69 11 months _____ $458.37
8 months _____ $333.36 12 months _____ $500.00
9 months _____ $375.03

B. Part-time and Seasonal Employees

Part-time and seasonal employees who have completed 1040 hours of regularly scheduled work in the prior calendar year and who are otherwise eligible receive a prorated benefit calculated as follows:
Prorated the number of regularly scheduled hours per week to full-time
(#hours : 40) = _________
X $41.67 = ____________
Multiply this number by the number of x___________
Credited months (See A. above) ____________

Annual Benefit ____________

I certify that the Form 1040/1040A/1040EZ and the Child Care expense receipt submitted by this employee and a copy of this form is on file and available in the Departmental Personnel Office.

________________________________________ _________________________________________
Authorized Signature Date
Send two copies of this form to accounts and Control

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Child Care Reimbursement Payments