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Department of the Treasury - Internal Revenue Service
Form 14815-A
(June 2021) Supporting Documents to Prove the Child Tax Credit (CTC) and
Credit for Other Dependents (ODC) for 2021
Name of taxpayer Taxpayer identification number
Provide English translations: For any document that isn’t in English, send us a true and accurate English-language translation
including the translator’s name, address and telephone number. If you don’t, we may disallow the item.
For each dependent, send us copies of the following items (don’t send us original documents):
1. Taxpayer identification The dependent’s Social Security card if the dependent was issued a Social Security number (SSN)
number by the Social Security Administration.
Exception: Don’t send us Note: You can’t claim the CTC for a dependent unless the dependent’s SSN was valid for
this document if the employment in the U.S. before the due date of the return, including extensions. However, we can
dependent was born in the allow the ODC for the dependent if you show us the ODC eligibility rules are met (see items 2
United States (U.S.). through 8 below).
Note: If the dependent was issued an individual taxpayer identification number (ITIN) or adoption
taxpayer identification number (ATIN), don’t send us proof of the ITIN or ATIN.
2. U.S. citizen, national or Documents proving the dependent was present in the U.S. during the year we’re examining.
resident Examples: Rental property lease, records for school or child care enrollment and attendance,
Exception: Don’t send us government benefits or assistance, legal or financial matters, medical care or health insurance or
these documents if the similar documents.
dependent was born in the Note: Only send us these documents for dependents who were issued an ITIN or ATIN, or
U.S. whose Social Security card is printed with the words “Not Valid for Employment” or “Valid for
Work Only With DHS Authorization.”
Note: If the dependent wasn’t a U.S. citizen, national or resident during the year we’re
examining, STOP. You can’t claim the CTC or the ODC for the dependent.
3. Relationship The dependent’s birth certificate, and if needed, the birth and marriage certificates of any individuals,
Exception: Don’t send us including yourself, that prove the dependent is related to you.
these documents if the For an adopted dependent, send an adoption decree or proof the child was lawfully placed with you or
dependent isn’t related to someone related to you for legal adoption.
you. For a foster child, send proof of authorized placement.
4. Residency Documents to show where you lived and where each dependent lived for the entire year, such as:
− A rental property lease or statement from the property owner or agent with the address, parties to the
lease, time period of the lease and names of persons residing there; mortgage payment records or
real estate tax statement.
− Records for school or child care enrollment, government benefits, legal or financial matters, medical
care or health insurance or other similar documents showing your address and the address of the
dependent.
Or, if you’re the non-custodial parent of a child whose parents are divorced, separated or living apart:
− Form 8332, Release/Revocation of Release of Claim to Exemption for Child by Custodial Parent, in
effect for the year we are examining, and
− Divorce decree, separation agreement or custody order if in effect for the year we’re examining.
5. Support Information to show who provided the dependent’s financial support for the year:
Exception: Don’t send us − Send documents and estimates of total amounts paid for the dependent’s support, such as proof of
these documents if the payment for housing and utilities, and estimates of amounts paid for personal living expenses, such
dependent was under age as clothing, medical care and transportation.
18 at the end of the year − State how much of the total support was provided by you, by the dependent, and by other sources.
we’re examining AND Other sources include individuals, as well as governmental, tribal and private entities. Send the
either: names of the other individuals and entities, if any.
• Lived with you for more − Send written declarations from others contributing to the dependent’s support that they will not claim
than half the year we’re the individual as a dependent if the dependent individual’s support was provided under a multiple
examining, or support agreement.
• Lived with someone who
signed Form 8332 for
more than half the year
we’re examining.
Catalog Number 37169E www.irs.gov Form 14815-A (6-2021)
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