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Submit Monthly Cost Verification

  • Monthly Cost Verification (MCV) forms must be completed and sent to the Office of Work, Life and Engagement no later than the 15th of the month following the last date of care for the previous month. For example, you must submit the MVC for January no later than February 15.
    Monthly Cost Verification (MVC) Form
  • You may fax (443-997-6609) the MCV form, however the original must be mailed to the Office of Work, Life and Engagement, 1101 East 33rd Street, Suite C100, Baltimore, MD 21218.
  • If you pay for care on a weekly basis, you may submit 4 or 5 weeks of care at one time (based on the number of weeks in a particular month). The Voucher program will not pay partial weeks or pro-rated fees for employees who pay weekly.
  • A weekly or monthly receipt(s) of payment from the care provider must accompany the MCV form. If you do not submit an MCV for more than 90 days, you will be removed from the Voucher program.
  • You can reapply to receive future benefits if funds continue to remain available.
  • Voucher Reimbursement Dates

    Month*Reimbursement Processing Dates
    January 2016February 5th & 19th
    February 2016March 4th & 18th
    March 2016April 8th & 22nd
    April 2016May 6th & 20th
    May 2016June 10th & 24th
    June 2016July 8th & 22nd
    July 2016August 5th & 19th
    August 2016September 9th & 23rd
    September 2016October 7th & 21st
    October 2016November 4th & 18th
    November 2016December 9th & 22nd
    December 2016December 27th

    *Reimbursements can be expected 3-4 days following the processing dates.


Please note: the Office of Work, Life and Engagement is not able to process MVC forms on demand so that your bank account has the funds you need to meet your financial obligations.


Updated 4/26/2016