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FORM 1095C REPRINT REQUEST FORM Instructions This form is to order a duplicate IRS Form 1095C EmployerProvided Health Insurance Offer and Coverage. To request a reprint for the most recent year, do
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How to fill out form 1095-c reprint request
How to fill out form 1095-c reprint request
01
Visit the website of the Taxpayer Advocate Service or access the IRS website to download a copy of the Form 1095-C Reprint Request.
02
Fill out the necessary personal information, including your name, address, and Social Security number.
03
Provide details about the employer whose Form 1095-C you are requesting a reprint of. This includes the employer's name, address, and employer identification number (EIN).
04
Indicate the tax year for which you need the form reprinted.
05
Provide a valid reason for the request, such as a lost or missing form.
06
Sign and date the form.
07
Submit the completed Form 1095-C Reprint Request via mail or electronically, depending on the instructions provided.
Who needs form 1095-c reprint request?
01
Anyone who received a Form 1095-C and needs a reprint of the form may submit a Form 1095-C Reprint Request. This includes individuals who have lost their original form, need an additional copy for tax purposes, or require a replacement due to errors or discrepancies on the original form.
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What is form 1095-c reprint request?
Form 1095-c reprint request is a request to receive a duplicate or replacement copy of IRS Form 1095-C which provides information about health coverage offered by an employer.
Who is required to file form 1095-c reprint request?
Individuals who did not receive their original Form 1095-C or need a replacement copy may file a form 1095-c reprint request.
How to fill out form 1095-c reprint request?
To fill out form 1095-c reprint request, an individual must provide their personal information, employer information, and a detailed explanation of why a duplicate or replacement copy is needed.
What is the purpose of form 1095-c reprint request?
The purpose of form 1095-c reprint request is to ensure individuals have access to the necessary documentation for tax and health coverage purposes.
What information must be reported on form 1095-c reprint request?
Form 1095-c reprint request requires information such as personal details, employer information, and a reason for requesting a duplicate or replacement copy.
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