Child care receipt template
A child care receipt with the provider's name and tax ID, the child, the period of care, the amount paid and the provider's signature for the parent's tax records.
- ๐บ๐ธ US format ยท Letter size
- Free
This is a sample form. Check tax amounts against IRS rules and your accountant's advice.
Fill in what you need. The preview updates as you type.
What you type is not saved on our server.
A receipt, not tax advice
This receipt records what the provider received. Whether the parent can claim the child and dependent care credit, and how much, depends on their return. The tax ID stays in your browser and is not sent anywhere; it is left out of shared links.
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Child Care Receipt
| Receipt # | CC-2026-031 | Date | October 31, 2026 |
|---|
| Amount paid | $1,860.00 Child care services |
|---|
| Provider | Sunny Hill Family Child Care 2310 Oak Knoll Dr, Austin, TX 78745 (555) 010-0000 |
|---|---|
| Provider tax ID (EIN or SSN) | 74-7654321 |
| Parent or guardian | Casey Nguyen |
| Child or children | Mia Nguyen, Leo Nguyen |
| Period of care | October 1, 2026 to October 31, 2026 |
| Paid by | โก Cashย ย โก Check # ______ย ย โก Cardย ย โ Online or app |
| Date paid | October 30, 2026 |
I certify that Sunny Hill Family Child Care received the amount shown for the care of the child or children listed during the period stated.
Parents may need the provider's name, address and tax ID to claim the child and dependent care credit on IRS Form 2441 or to use a dependent care flexible spending account. Keep this receipt with your tax records.
Provider: Sunny Hill Family Child Care
Signature: ______________________
Date: October 31, 2026
How to use it
Type the provider's name, address, phone and tax ID, the parent, the children, the period the payment covers and the amount. Pick how it was paid and the date, then print and sign. The receipt puts the amount in a bold line at the top and the provider's tax details where the parent can find them at tax time.
At the end of the year, switch on the year-end statement: the title changes, the period becomes the tax year and the amount is the total paid. One statement per family is what most parents ask for in January.
Things to watch
Parents claim the child and dependent care credit on Form 2441, which asks for the provider's name, address and tax ID, the same items as Form W-10. A provider who runs a business usually has an EIN; a nanny or babysitter paid directly may give an SSN. Keep a copy of every receipt and log the payments in the rent ledger or a simple income ledger so the year-end total adds up.
Calculators that go with this
Frequently asked questions
Do I have to give my SSN?
The parent needs a tax ID for the credit, and a provider who refuses can be reported to the IRS on Form 2441. If you do not want to give your SSN, get a free EIN from the IRS site and use that on every receipt.
Can a babysitter or nanny use this?
Yes. Type your own name as the provider and your home address. If the family pays you through payroll as a household employee, their W-2 already carries the numbers and this receipt is a courtesy copy.
What if the family paid for several months at once?
Make the period of care cover all the months paid and type the whole amount. For a year-end summary, switch on the year-end statement and type the total for the year.
Is what I type saved anywhere?
No. Everything stays in your browser and nothing is sent to our server. If you refresh the page it is gone, so print, save a PDF or download the DOCX when you are done.