Form W-10, Dependent Care Provider’s Identification and Certification
Form W-10 collects a care provider’s name, address, and taxpayer identification number so you can claim dependent care tax benefits. Fill in the official IRS PDF below and download it.
This is the genuine IRS PDF, unmodified. Source: IRS official page.
What is W-10?
Form W-10, Dependent Care Provider’s Identification and Certification, is a one-page form a parent or caregiver gives to each person or organization that provides care for their child or other dependent. The provider fills in their correct name, address, and taxpayer identification number and signs to certify the information.
You need this information to claim the child and dependent care credit on Form 2441 or to exclude employer-provided dependent care benefits. The form stays in your records; it is not filed with the IRS. Using it shows you exercised due diligence in collecting the provider’s details.
Who files W-10?
- Parents claiming the child and dependent care credit who need their provider’s TIN
- Employees receiving dependent care benefits through an employer plan
- Daycare centers, preschools, and individual caregivers completing the provider section
- Households employing a nanny or sitter whose details will go on Form 2441
How to fill out W-10
- Give the form to your care provider, or fill in the parts you know and ask them to complete the rest.
- The provider enters their name, taxpayer identification number (SSN or EIN), and address in Part I.
- The provider signs and dates the certification confirming the information is correct.
- Enter your own name and address in Part II as the person requesting the information.
- Download the completed PDF and keep it with your tax records. Copy the provider details onto Form 2441 when you file; do not send Form W-10 to the IRS.
Quick fill W-10 on this page
Prefer to see the form itself while you type? Open W-10 in the editor to fill it on the actual pages, add a signature, and download.
Frequently asked questions
Do I mail Form W-10 to the IRS?
No. It is a record-keeping form. You keep it and use the provider information to complete Form 2441 with your tax return.
What if my provider refuses to give a TIN?
You can still claim the credit if you show due diligence: report whatever information you have on Form 2441 and attach a statement explaining that you requested the TIN, for example with Form W-10, and the provider declined. Tax-exempt providers such as churches can write "tax-exempt" instead of a TIN.
Do I need a new W-10 every year?
Not necessarily, but it is smart to refresh it when a provider’s name, address, or employer changes so the details on Form 2441 stay accurate.