Child Tax Dependent Claim Form

Child Tax Dependent Claim Form
Please complete this form to provide information required to claim a child as a dependent for tax purposes.
Claimant's Full Name
First NameLast Name
Claimant's Email Address
example@example.com
Claimant's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Claimant's Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Child's Full Name
First NameLast Name
Child's Date of Birth
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Relationship to Child
Did the child live with you for more than half of the year?
Did you provide more than half of the child's financial support during the year?
Is the child claimed as a dependent by anyone else this year?
Additional Information or Comments (optional)
Should be Empty: