Qualifying child information
— Provider’s name, address, and telephone number.
— Provider’s identification number (SSN/FEIN).
Lines 10–14. Enter the full name, Social Security num-
— The method of payment (check, money order, cash,
ber or ITIN, date of birth, and relationship to you using
etc.).
the codes on the back of Schedule WFC for each quali-
— Include bank statements or bank receipts show-
fying child.
ing cash withdrawals if paying in cash or money
order.
Enter the portion of expenses you listed in the child
care provider section that apply to each child. The
If you have more than one child, be sure the informa-
amounts shown on line 9 and line 14 should always be
tion is listed separately for each child.
the same. If you have more than four qualifying chil-
Example 7: Abby has two children and works full time.
dren, check box 14a and include a separate sheet with
Abby’s friend, Tonya, is Abby’s child care provider.
the same information for the additional children.
Abby pays Tonya $500 a month in cash. During the pro-
cessing of her tax return, Abby was asked for proof that
Computation of credit
she paid Tonya. She did not provide receipts or other
proof of payment. Abby’s credit was denied. Abby filed
Line 15. Enter your federal AGI (Oregon Form 40, line 8)
a written objection and provided receipts Tonya filled
on Schedule WFC, line 15.
out after Abby’s credit was denied. Abby cannot claim
LIne 16. Enter the total qualifying expenses from Sched-
the credit because the receipts were not provided to her
ule WFC, line 9, on Schedule WFC, line 16.
at the time of payment and she has no other proof that
she paid Tonya.
Line 17. Use the table on the back of Schedule WFC that
matches your household size, line 5.
Important: If you did not provide complete informa-
tion, we may ask for additional proof. If you pay a rel-
For example, if your household size is three, use Table 3
ative or friend to care for your children, you may be
to find the percentage you need to apply to your quali-
asked to provide proof showing you actually paid qual-
fying expenses. Enter that percentage on Schedule
ifying child care expenses. Documents provided will
WFC, line 17.
not be returned. Be sure to ask for a signed receipt from
your child care provider each time you pay for child care.
150-101-169 (Rev. 12-14)