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Estimating your work-related dependent care expenses is complex. This is a sample chart that will allow you to estimate the number of days your child(ren) will be in school or in the care of another individual. Please check your own school system schedule for accuracy, and estimate the days you will be on vacation and caring for your children yourself.

Name of dependent:	Age:
	Cost
Care for dependents and children under age 6:     Cost per week $   x 50 work weeks (or)     Cost per month $   x 11.5 months
Care for children entering school next fall:     Full-time care until June: $   x 22 weeks
Registration or activity fee for summer care
Summer care: $   x 10 weeks
Registration cost for autumn care
Autumn before- and after-school care:         $   x 16 weeks
Care during winter break: $   x 2 weeks
Care for children who are currently full-day students:     Before- and after-school care: $   x 37 weeks
Full-time care for spring break: $   x 1 week
Registration for summer care
Summer care: $   x 10 weeks
Full-time care for winter break: $   x 2 weeks
Subtotal expenses:
Dependent 1:
Dependent 2:
Dependent 3:
Dependent 4:
Total work-related dependent care expenses: