Dependent Care Assistance Plan (DCAP)

Payroll Deduction Estimating Worksheet

Payroll Deduction Worksheet (Form BEN003) [PDF]

Estimate your dependent care expenses and calculate your monthly payroll deduction for the benefit year.

Payroll Deduction Worksheet (Form BEN003) for 6-month benefit year [PDF]

Estimate your dependent care expenses and calculate your monthly payroll deduction for the shortened benefit year.