Instructions for Form 13441-A
Department of the Treasury Internal Revenue Service
Health Coverage Tax Credit (HCTC) Monthly Registration
Please follow the instructions below to complete Form 13441-A. Write your Social Security Number at the top of each document you are sending to the HCTC Program. Print or type your responses. To register for the monthly HCTC, you must complete...
Fill & Sign Online, Print, Email, Fax, or Download