Instructions to Apply for the Tax Credit
The Family Caregiver is required to apply for the credit by submitting the Family Caregiver Tax Credit Application, Form 3165, the Licensed Health Care Provider Certification for the Family Caregiver Tax Credit Application, Form 3165C to DOR along with any required documentation, including documentation supporting the eligible expenditures. DOR will process the applications in the order received until the amount of the certified credits reaches the annual limit.
- Family Caregiver Tax Credit Application, Form 3165
- Licensed Health Care Provider Certification for the Family Caregiver Tax Credit Application, Form 3165C
Tax Credit Authorization Table
