Get the free Request a Corrected Form 1095-A (PDF) - DC Health Link
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2016IRSForm1095A CorrectionRequest DO NOT SUBMIT THIS FORM TO THE IRS SUBMIT THIS FORM AND ALL REQUIRED DOCUMENTATION TO DC HEALTH LINK Marketplaceassignedpolicynumber(Box2ofForm1095A)(REQUIRED):
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Who needs request a corrected form?
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Anyone who has submitted an incorrect form and needs to correct the provided information.
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What is request a corrected form?
Request a corrected form is a formal petition to fix errors or provide additional information on a previously submitted form.
Who is required to file request a corrected form?
Anyone who has identified errors or incomplete information on a previously submitted form is required to file a request a corrected form.
How to fill out request a corrected form?
To fill out a request a corrected form, one must provide their personal information, describe the errors or missing information, and submit any supporting documentation.
What is the purpose of request a corrected form?
The purpose of request a corrected form is to ensure accurate and complete information is submitted by correcting errors or providing missing information on a previously submitted form.
What information must be reported on request a corrected form?
The request a corrected form must include the individual's personal information, details of the errors or missing information, and any documentation supporting the corrections.
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