
The New England Work and
Family Committee understand the difficulties families face. In many cities and towns, half-day
kindergarten is provided by the public school system. If your child were to attend a full day program in the public
school, parents are faced with tuition for the remaining half-day. We want to
ease your financial obligation so your kindergartener can attend private or
public school.
The full or half-day
Kindergarten program runs for the school year, September, 2007 - June
2008. This program is for your
kindergarten children. The New England
Work and Family Committee will reimburse up to $2600.00 per year per dependent. The monies you are reimbursed for are
taxable.
q You must be a member of IBEW, management or
non-bargained from MA, RI, VT, NH or ME.
q CWA and IBEW 2213 Idearc (formerly VIS) employees are
not eligible for this program
q You must have a total household income of less than
$125,000 for year 2006
q The program is for your dependents listed on your tax
return
q You must have incurred kindergarten tuition expenses
q You cannot participate in both The Dependent Care
Reimbursements Fund (DCRF) and Kindergarten Reimbursement for the same dependent.
Kindergarten School Eligibility
School must be an accredited
private or public school where you are required to pay for a full or half- day
of kindergarten.
How do I apply?
You can obtain an application
by going to www.verizon.com/life
and click on “Union Member Resources,” then select “New England Work and
Family”, you can call 617-743-6310 or call your union representative and then
complete the following steps:
q Complete the application in full
q
Have school
administration office sign the application after the payment has been made
q Attach receipts or canceled checks to the
application
q Send a copy of your 2006 1040 federal tax return
(dependents name must be on your tax return)
q If your child’s name is not on your tax return
because of a recent adoption, please attach adoption documentation.
q Send 2006 employee W2 (must be a Verizon
employee).
How much am I reimbursed?
You may be reimbursed up to
$2,600.00 per year. Complete your
application and return along with your 2006 federal tax return, W2 and receipts
for Kindergarten school tuition. If you
pay installments you may submit receipts throughout the school year. The
application must be received no later than June 1, 2008. Your reimbursement
will be included your paycheck.
VERIZON
and IBEW retain the right to change the eligibility requirements or amount of
reimbursement as well as any other provision of the program.
Eligibility
for reimbursement terminates upon your termination
of employment with Verizon.
Program
contingent on contract negotiations.
PLEASE
NOTE:
This is a
Taxable Kindergarten Reimbursement Program
IBEW/Verizon New England Work and Family
Committee
Kindergarten Reimbursement Program
Taxable Reimbursement Program
Complete ALL information.
Your application WILL BE RETURNED if any information is missing. Please
print clearly or type.
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Employee Name Social Security #
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Home
Address |
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City State Zip Code |
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Home
Phone |
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Work
Address |
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City
State Zip Code |
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Work Phone
Cell Phone |
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Email |
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Are you
on Leave? Yes No If so what type Dates of Leave |
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Circle
and fill in local IBEW
Local _____________ Management
Non Bargained |
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Do you
participate in the Dependent Care Reimbursement Program? NO YES If
yes please name your dependents in the program
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1) Dependent
Full Name DOB
Age |
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School Name |
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Please
circle private public school |
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School
‘s Address |
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School’s
Phone Number |
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Cost the public/private school kindergarten per school year |
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Do you
pay installments? |
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If so
how much How many installments |
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School Principal /Administrative
Office Signature Date |
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(Attach receipts and/or cancelled
checks) |
You MUST attach a
copy of your 1040 and W2 for year 2006, receipts and/or cancelled checks before sending.
Only applications submitted with 1040 cancelled checks or receipts will be paid.
Employee Authorization:
I, (Print Name) ________________________________________ am
requesting reimbursement for the expenses listed above. I have read the
criteria of the Kindergarten Reimbursement Program and agree to abide by them
and my signature signifies I abided by the criteria. I certify that all the information
I have provided on this form and in the attachments is accurate.
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Employee Signature
Date |
Send this form and attachments to:
Verizon/ IBEW
Attn: New England Work
& Family Committee
15 Chestnut St.
Worcester, MA 01609
No Later than June 1, 2008