Form W-10 - (Rev. October 2020) Dependent Care Provider’s Identification and Certification

Sep 19, 2026

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Early release draft cover sheet guidance for Form W-10 emphasizes that the draft is not for filing and should not be relied on for tax return submission. It explains the IRS process for incorporating changes before official release, and notes that unexpected issues or legislation may prompt new drafts. The document also provides how to obtain the latest draft and final form information, along with a checklist of completion and due diligence requirements tied to dependent care provider identification.

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Pages2

Reading Time1 min

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Form Cover Sheet Guidance (Draft Notice)

Instructions: Not for Filing and How to Access Updates

Form W-10 Overview and Purpose

Part I: Certification and Signature of Dependent Care Provider

Part II: Name and Address of Person Requesting Information

Due Diligence and Required Information

Note: The draft you are looking for begins on the next page. Caution: DRAFT NOT FOR FILING This is an early release draft of an IRS tax form, instructions, or publication, which the IRS is providing for your information. Do not file draft forms and do not rely on draft forms, instructions, and publications for filing. We do not release draft forms until we believe we have incorporated all changes (except when explicitly stated on this coversheet) . However, unexpected issues occasionally arise, or legislation is passed—in this case, we will post a new draft of the form to alert users that changes were made to the previously posted draft. Thus, there are never any changes to the last posted draft of a form and the final revision of the form. Forms and instructions generally are subject to OMB approval before they can be officially released, so we post only drafts of them until they are approved. Drafts of instructions and publications usually have some changes before their final release. Early release drafts are at [IRS.gov/DraftForms](IRS.gov/DraftForms) and remain there after the final release is posted at [IRS.gov/LatestForms](IRS.gov/LatestForms. All)[. All](IRS.gov/LatestForms. All) information about all forms, instructions, and pubs is at [IRS.gov/Forms](IRS.gov/Forms). Almost every form and publication has a page on IRS.gov with a friendly shortcut. For example, the Form 1040 page is at [IRS.gov/Form1040](IRS.gov/Form1040); the Pub. 501 page is at [IRS.gov/Pub501](IRS.gov/Pub501); the Form W-4 page is at [IRS.gov/W4](IRS.gov/W4) ; and the Schedule A (Form 1040/SR) page is at [IRS.gov/ScheduleA](IRS.gov/ScheduleA. If )[. If ](IRS.gov/ScheduleA. If )typing in a link above instead of clicking on it, be sure to type the link into the address bar of your browser, not a Search box. If you wish, you can submit comments to the IRS about draft or final forms, instructions, or publications at [IRS.gov/FormsComments](IRS.gov/FormsComments. We)[. We](IRS.gov/FormsComments. We) cannot respond to all comments due to the high volume we receive and may not be able to consider many suggestions until the subsequent revision of the product. If you have comments on reducing paperwork and respondent (filer) burden, with respect to draft or final forms, please respond to the relevant information collection through the Federal Register process; for more info, click here. Form W-10 (Rev. October 2020) Department of the Treasury Internal Revenue Service Dependent Care Provider’s Identification and Certification ▶ Do NOT file Form W-10 with your tax return. Instead, keep it for your records. ▶ [Go to](Go to www.irs.gov/FormW10 for)[ www.irs.gov/FormW10](Go to www.irs.gov/FormW10 for)[ for](Go to www.irs.gov/FormW10 for) the latest information. Dependent Care Provider’s Identification (see instructions) | Please Print or Type | Name of dependent care provider | Provider’s taxpayer identification number | | --- | --- | --- | | | Address (number, street, and [apt. no](apt. no).) | If the above number is a social security number, check here ▶ . . . . . .
| | | City, state, and ZIP code | | DRAFT AS OF Part I Certification and Signature of Dependent Care Provider. Under penalties of perjury, I, as the dependent care provider, certify that my name, address, and taxpayer identification number shown above are correct. July 16, 2020 | Please Sign Here | Dependent care provider’s signature | Date | | --- | --- | --- | Part II Name and Address of Person Requesting Part I Information (see instructions) Name, street address, [apt. no](apt. no)., city, state, and ZIP code of person requesting information General~~ ~~Instruc~~D~~tions~~ O NO T~~y•oItepprovropeirdlye~~F~~rcymopluee~~I~~hdouFso~~L~~erldW-m,~~ E~~Epmloele~~ ~~anoyeed’sheWiothrshholedigangve~~ ~~ Section references are to the Internal Revenue Code. Certificate, to have income tax withheld, a copy of that Form W-4 . Purpose of form. You must get

FAQs

Is Form W-10 draft material allowed for filing with a tax return?

No. The draft notice states that draft forms are not for filing and should not be used to rely on for filing purposes.

What is the purpose of Form W-10?

The form is used to obtain dependent care provider information for claiming child and dependent care benefits or credits, including the provider’s correct name, address, and taxpayer identification number (TIN).

What must be done to show due diligence if the provider’s information is incorrect?

Due diligence is shown by obtaining and keeping records such as a properly completed Form W-10, a copy of the provider’s social security card, or documents like printed letterhead/invoices that include the provider’s name, address, and TIN.

Sep 19, 2026

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