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Get the free Form IC-13A-HC and Form IC-14-HMO Instructions. State of Washington Office of Insura...

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Instructions to the Additional Data Statement Form (Form IC13AHC and Form IC14HMO) (Instructions updated 11/18)General Instructions Please note that Form IC13AHC and Form IC14HMO apply to every Health
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Form ic-13a-hc is a health coverage tax credit election form and Form ic-13a is a health coverage tax credit registration and revocation form.
Individuals who are eligible for the health coverage tax credit are required to file these forms.
The forms can be filled out online or downloaded from the IRS website and submitted either electronically or by mail.
The purpose of the forms is to apply for the health coverage tax credit or make changes to an existing enrollment.
The forms require information such as personal details, income information, and details of the health plan.
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