1. Personal Information
Parent*  Explanation! 
   
   
   
   
   
   

* Parent refers to the parent that will be entering most of the expenses.
2. Expense Types
Expense Type (e.g., Medical*, School, etc.)
Primary % / First Dollar**
Second % / First Dollar**
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* For Medical Expenses add one line per child if there is a First Dollar Amount applies per child.
** The First Dollar is the amount that must be reached before the sharing percentages apply (eg., First $250 of Medical expenses are paid by Primary parent)
3. Confirmation
Thank you. You are all set
We will process your submission and email you when your system is configured for your use.
Below is a summary of your submission information:


Profile Information



Second Parent Not Included
Start/Effective Date:


Expense Types

-

Payment Information

You are currently in your 60 day free trial. In 50 days you will receive an email which will allow you to enter in your credit card, if you wish to continue. You will also have the option to cancel. If you do not extend your trial within the 60 day period, your account will be disabled. Make sure you checkout our instruction videos on the website.

Fullname1:
Fullname2:
Fullname1:
Fullname2:
Others: