Form 886 H Dep – Fill Out and Use This PDF

Taxpayer name

Taxpayer Identification Number

Tax Year

If You Are:

And:

Then please send photocopies of the following documents:

Divorced, legally separated, or living

Both parents (together) provided more than half of the child's total support for

Entire divorce decree, separation agreement, decree of separate maintenance. If

apart from the other parent of the

the tax year.

you are living apart from the child's other parent, but you are not divorced or legally

child claimed on your return.

and

separated, send proof that you did not live with the child's other parent for the last

six months of the year.

One or both parents have custody.

Current custody order, completed Form 8332, Release of Claim to Exemption for

Child of Divorced or Separated Parents or a similar statement as applicable for

2021. You may need to send more than one document.

If the Person Is:

And:

Then please send photocopies of the following documents:

Your qualifying child

The child is your: son, daughter, adopted child, a child lawfully placed with you

Birth certificates or other official documents of birth, marriage certificates, letter

for legal adoption, stepson, stepdaughter, brother, sister, stepbrother,

from an authorized adoption agency, letter from the authorized placement

stepsister, foster child placed with you by an authorized placement agency or

agency, or applicable court document that verify your relationship to the child

by court order, or a descendant of any such person (for example, a grandchild,

(send these documents only for a qualifying child who is not your natural or

a niece, or a nephew),

adopted child).

and

To show both you and your child lived together at the same address or addresses

The child lived with you for more than half of 2021; (temporary absences away

for more than half of 2021, send either:

from home, such as the child going away to school, count as time lived at

•

School, medical, daycare, or social service records.

home),

and

•

A letter on the official letterhead from a school, medical provider, social service

The child did not provide half of his or her own support for 2021,

agency, or place of worship that shows names, common address, and dates.

(We cannot accept documents signed by someone related to you.)

and

You may need to send more than one document to show that the child lived

At the end of 2021, the child is under age 19, or a full-time student under the

with you for more than half of the year.

age of 24, or permanently and totally disabled regardless of age.

Note: The above-mentioned age requirement is for Earned Income Tax

Credit eligibility only. For the Child Tax Credit, by the end of the year, the

child must be under age 18 in 2021, or under age 17 in 2020 and prior

years.

If the Person Is:

And:

Then please send photocopies of the following documents:

Your qualifying relative

Your relative is any of the relatives listed in the box above or any of the

Birth and marriage certificates that verify your relationship to the qualifying

following: father or mother and their ancestors, stepfather or stepmother, aunt

relative.

or uncle, brother- in-law or sister in-law,

If you claim a non-blood related person as a qualifying relative, send proof the

and

person has lived in your home for the entire 12 months of the year. To show both

You provided over half of his or her support in 2021, (except for children of

of you lived together at the same address or addresses for all of 2021, send

either:

divorced or separated parents),

•

School, medical, daycare, or social service records.

and

•

A letter on the official letterhead from a school, medical provider, social service

Cannot be claimed as a qualifying child by any other person in 2021.

agency, or place of worship that shows names, common address, and dates.

(We cannot accept documents signed by someone related to you.)

Catalog Number 35111U

www.irs.gov

Form 886-H-DEP (Rev. 10-2021)

Catalog Number 35111U

www.irs.gov

Form 886-H-DEP (Rev. 10-2021)