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Form 8965: Health Coverage Exemptions

Form 8965

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Complete Form 8965 if you have a Marketplace-granted coverage exemption or you are claiming a coverage exemption on your return.

Form 8965: Health Coverage Exemptions FAQs

What is Form 8965?

Form 8965 if you have a Marketplace-granted coverage exemption or you are claiming a coverage exemption on your return.

Do I need to file Form 8965?

You do not need to file Form 8965 if you have coverage through your employer, buy insurance through a Marketplace or use private insurance.

Form	Name
4868	Application for Automatic Extension of Time to File US Individual Income Tax Return
4868 (SP)	Application for Automatic Extension of Time to File US Individual Income Tax Return (Spanish)
SS-4	Application for Employer Identification Number
8822	Change of Address
8822-B	Change of Address or Responsible Party — Business