Forms – Childcare Tax Info Request – Child and Family Agency

Tax Information Request

If you need information for your taxes, please fill out the following information. The business office will gather childcare payment information for 2020 regarding your child. There is no charge to you; however it may take 2 weeks for your request to be processed.
Parent Name*
First Last
Child Name*
First Last
Program*
- New London Day Nursery (NLDN)
- Early Childhood Development Center (Groton ECDC)
- BP Learned Mission
Authorization*
- I would like to request a listing of all childcare payments for the above client for my 2020 tax return. Please include the Agency tax I.D. number.
Signature*
Email
Today's Date*
MM slash DD slash YYYY