Ca9176 Form PDF Details

In order to complete your California 9176 form, you will need to gather some important information. The first step is to calculate your total income for the year. This includes all forms of income that were earned in 2017, including wages, tips, interest payments, and dividends. You will also need to determine your adjusted gross income (AGI). To do this, subtract any deductions or credits that were claimed on your federal tax return. Once you have both of these figures, you can begin filling out the California 9176 form. Be sure to include all relevant information and submit it by the deadline!

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Form NameCa9176 Form
Form Length2 pages
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Avg. time to fill out30 sec
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Specified Adult Childcare credits

Part 1: Overview

These National Insurance (NI) credits were introduced from April 2011. You may be entitled to receive these NI credits if you are a grandparent, or other family member, who cares for a child under 12, usually whilst their parent (or main carer) is working. These credits are only available from April 2011 and you must make an application to receive the NI credits.

Part 2: What you'll get

Specified Adult Childcare credits will help build up your National Insurance contributions. This means:

You will receive a Class 3 NI credit for each week or part week you cared for the child. Class 3 NI credits help to build entitlement to the basic State Pension and certain bereavement benefits and;

It can help to stop gaps in your National Insurance record.

Part 3: Eligibility

You should not apply for Specified Adult Childcare credits if you;

already have a qualifying year of National Insurance – usually because you work or receive other NI credits

are receiving Child Benefit for the child – you already get Parent’s credits automatically

are the partner of, and live with, the Child Benefit recipient and you want to transfer the Parent’s credits from your spouse or partner to yourself - you apply to do this on form CF411A which can be found on the HMRC website.

You can apply for Specified Adult Childcare credits if:

you are a grandparent, or other family member caring for a child under 12

you were over 16, and under state pension age when you cared for the child

you are ordinarily resident in the United Kingdom, meaning England, Scotland, Wales and Northern Ireland, but not the Channel Islands or the Isle of Man

the child’s parent (or main carer) is entitled to Child Benefit and has a qualifying year for National Insurance without needing the parent’s class 3 NI credits which they receive automatically from Child Benefit

the child’s parent (or main carer) agrees to your application by countersigning the form to confirm that:

O a) you cared for their child for the period stated

O b) you can have the Class 3 NI credit for the period stated

What counts as a family member

1.Mother or father,

2.Grandparent, Great-grandparent; or Great-great-grandparent;

3.Brother or sister;

4.Aunt or uncle;

5.Husband or wife or former husband or wife of anyone in 1 to 6.

6.Civil partner or former civil partner of anyone in 1 to 6;

7.Partner/former partner of anyone in 1 to 8;

8.Son or daughter of anyone in 5 to 9;

9.In respect of the son or daughter of anyone in 6, that person’s:

a.husband or wife or former husband or wife;

b.civil partner or former civil partner; or

c.partner or former partner.

For 5 (in relation to the child) and for 6 (in relation to the parent) include:

a half-brother/half-sister or a step-brother/step-sister; and

an adopted brother or an adopted sister.

For 9, a partner is the other member of a couple consisting of:

a man and woman who are not married to each other but are living together as husband and wife; or

two people of the same sex who are not civil partners of each other but are living together as if they were civil partners.

Part 4: How to claim

To apply for Specified Adult Childcare credits you will need to download and complete the application form. The application requires the:

personal details of the applicant - the family member caring for the child

child’s details and the periods of care

personal details of the child’s parent (or main carer) the Child Benefit recipient

applicant and the parent must both sign their declarations on the application

Download the application form here - http://www.hmrc.gov.uk/forms/ca9176.pdf

Call the helpline below with any questions about Specified Adult Childcare credits.

National Insurance Helpline

Telephone: 0845 302 1479

Textphone: 0845 915 3296

Monday to Friday, 8am to 8pm, Saturday, 8am to 4pm

Please note applications for each tax year cannot be accepted until the following October at the earliest. For example, for the tax year 2012/2013 applications must not be made until October 2013. This is because we need to check the parent already has a qualifying year for National Insurance purposes, and that can take until the October.

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