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August 1996) collects dependent care provider identity details, including the provider’s name, address, and taxpayer identification number (TIN), and provides a certification and signature section. It explains how the requesting person must obtain this information to claim child and dependent care benefits or credits and outlines penalties for failing to furnish a valid TIN. Instructions cover due diligence acceptable records, when incorrect information can deny credits, and how providers determine the correct TIN type, including SSN, ITIN, and tax-exempt organization handling.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/form-w-10-dependent-care-providers-identification-and-certifications-do-not-file-with-your-tax-return/304260/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/form-w-10-dependent-care-providers-identification-and-certifications-do-not-file-with-your-tax-return/304260.png","ImageObject",442,249,{"name":88,"@type":89},"Noah","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-09-30","2026-09-19",true,{"@type":98,"interactionType":99,"userInteractionCount":79},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"What is Form W-10 used for?","Question",{"text":108,"@type":109},"Form W-10 is used to obtain and document the dependent care provider’s identification information (name, address, and TIN) needed to claim child and dependent care credits or employer dependent care benefits.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"What happens if a provider does not furnish a valid TIN?",{"text":113,"@type":109},"A provider who does not give the correct TIN may be subject to a penalty of $50 for each failure unless it is due to reasonable cause and not willful neglect.",{"name":115,"@type":106,"acceptedAnswer":116},"How can the person requesting the information show due diligence?",{"text":117,"@type":109},"Due diligence is shown by keeping records such as a properly completed Form W-10, copies of the provider’s Social Security card or driver’s license with the SSN, a printed letterhead or invoice with name/address/TIN, or other specified documents depending on the provider type.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},304260,1790198183,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":79,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":9,"language":135,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":61,"update_tm":139,"read_time":4},8796095462418,"https://ap-avatar.wpscdn.com/avatar/80000253c1241d02b47?x-image-process=image/resize,m_fixed,w_180,h_180&k=1778826106357471780","Total Payments 2022: $0.00 Addin, Mrs.  \n\n| Form W-1O\u003Cbr>(Rev. August 1996) Department of the Treasury Internal Revenue Service |  | Dependent Care Provider's Identification and Certifications Do NOT file Form W-10 with your tax return. Instead, keep it for your records. |  |  |\n| --- | --- | --- | --- | --- |\n| Part I | Dependent Care Providers Identification (See instructions. ) |  |  |  |\n| Please print or type | Name of dependent care provider\u003Cbr>BerkyTest |  | Provider’s taxpayer identification number |  |\n|  | Address (number, street, and [apt. no](apt. no). )\u003Cbr>123 Road St |  | If the above number is a social security\u003Cbr>number, check here ► | |\n|  | City, state, and ZIP code\u003Cbr>Dallas , TX 75234 |  |  |  |\n\nCertification and Signature of Dependent Care Provider.-Under penalties of perjury I as the dependent care provider, certify  \nthat my name address, and taxpayer identification number shown above are correct.  \n\n| Please Sign Here | Dependent care providers signature |  | Date |\n| --- | --- | --- | --- |\n| Part II | Name and Address of Person Requesting Part I Information (See instructions. ) |  |  |\n| Name, street address, [apt. no](apt. no). , city, state and ZIP code of person requesting information |  |  |  |\n| General Instructions\u003Cbr>Section references are to the internal Revenue Code,\u003Cbr>Purpose of form.-You must get the information shown in Part I from each person or organization that provides care for your child or other dependent if:\u003Cbr>1. You plan to claim a credit for child and dependent care expenses on form 1040 or 1040A or\u003Cbr>2. You receive benefits under your employers dependent care plan\u003Cbr>If either 1 or 2 above applies, you must show the correct name, address and taxpayer identification number (TIN) of each care provider on Form 2441 , Child and Dependent Care Expenses or Schedule 2 , Child and Dependent Care Expenses for Form 1040 A Fliers, Whichever applies.\u003Cbr>You may use Form W-10 or any of the other sources listed under Due diligence below to get this information from each provider\u003Cbr>Penalty for failure to furnish TIN.-TlNs are needed to carryout the Internal Revenue laws of the United States Section 6109(a) re. quires a Provider of dependent care services to give to you a valid TIN even If the Provider Is not required to file a return . The IRS uses the TIN , to identify the Provider and verify the accuracy of the Providers return as well as yours.\u003Cbr>A care provider who does not give you his or her correct TIN is subject to a penalty of $50 for each failure unless the failure is due to reasonable cause and not willful neglect. This penalty does not apply to an organization described in section 501(c)(3) . See Tax-exempt dependent care Provider later.\u003Cbr>If incorrect information is reported.-You will not be allowed the tax credit or the exclusion for employer-Provided dependent care benefits if;\u003Cbr>• You report an incorrect name address or TIN of the provider on your Form 2441 or Schedule 2, and\u003Cbr>• You cannot establish , to the IRS upon its request, that you used due diligence in trying to get the required information. Due diligence.-You can show due diligence by getting and keeping in your records any one of the following:\u003Cbr>• A Form W-IO properly completed by the provider.\u003Cbr>• A copy of the provider’s social security card or driver’s license that includes his or her social security number.\u003Cbr>• A recently Printed letterhead or Printed Invoice that shows the provider's name, address, and TIN.\u003Cbr>• If the provider is your employer’s dependent care plan , a copy if the statement provided by your employer under the plan.\u003Cbr>• If the provider is your household employee and he or she gave you a properly completed Form W-4 , Employee's Withholding |  | Allowance Certificate, to have income tax withheld, a copy of that Form W-4 .\u003Cbr>If your care provider does not comply with your request for one of these items, you must still report certain information on your Form 2441 or Schedule 2, whichev","cbCairF0FgATbpkQ","https://ap.wps.com/l/cbCairF0FgATbpkQ","pdf",85614,"English","# Part I: Dependent Care Providers Identification\n## Certification and Signature\n# Part II: Name and Address of Person Requesting Part I Information\n# General Instructions\n## Purpose of form\n## Penalty for failure to furnish TIN\n## If incorrect information is reported\n## Due diligence\n# Specific Instructions\n## Part I details and TIN types\n## Tax-exempt dependent care provider\n## How to get a TIN\n## Income tax reporting requirements","[{\"question\":\"What is Form W-10 used for?\",\"answer\":\"Form W-10 is used to obtain and document the dependent care provider’s identification information (name, address, and TIN) needed to claim child and dependent care credits or employer dependent care benefits.\"},{\"question\":\"What happens if a provider does not furnish a valid TIN?\",\"answer\":\"A provider who does not give the correct TIN may be subject to a penalty of $50 for each failure unless it is due to reasonable cause and not willful neglect.\"},{\"question\":\"How can the person requesting the information show due diligence?\",\"answer\":\"Due diligence is shown by keeping records such as a properly completed Form W-10, copies of the provider’s Social Security card or driver’s license with the SSN, a printed letterhead or invoice with name/address/TIN, or other specified documents depending on the provider type.\"}]","Form W-10 - Dependent Care Provider's Identification and Certifications - Do NOT file with your tax return | PDF",1789811506]