Terms of Use
Not tax or legal advice. FSA Receipts and the Dependent Care Receipt Pack are drafting and record-keeping tools, not tax or legal advice. Dependent Care FSA substantiation rules, IRS Form 2441 requirements, and household-employer ("nanny tax") rules vary by plan and by household, and this site's descriptions of them are general and may not reflect the current-year rules that apply to you. Confirm requirements with your plan administrator, the IRS instructions for Form 2441, or a tax professional before relying on a receipt generated here for a claim or a filing.
The free generator. The receipt generator on the home page is free to use for your own personal record-keeping, without limit.
Paid pack. The Dependent Care Receipt Pack is a digital download sold through Gumroad. Because it is delivered instantly, refunds are handled under Gumroad's refund policy — if it isn't what you expected, contact us and we will approve the refund.
No warranty. The generator and templates are provided as-is, without any warranty that a particular FSA administrator, employer, or the IRS will accept a given receipt.
Dependent Care Receipt Pack
Six polished, print-ready templates for every provider type, plus the two sheets that make tax time easier.
- Babysitter receipt — fillable-style layout for one-off or occasional care
- Nanny receipt — built for recurring weekly or monthly pay
- Daycare receipt — center name, license number field, and billing period
- Summer camp receipt — day-camp session dates and per-week itemization
- Year-end provider summary sheet — totals per provider, ready for Form 2441
- 12-row payment log — track every payment across the year in one place
Instant PDF download. The free generator above stays free forever — the pack is for families who want every provider type ready to go, plus year-end totals for Form 2441.