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Printable Form 8965 El Monte California: What You Should Know

Downloadable versions of the form, the exemption report, the claim form, and accompanying documents are available on this site. 2017 Form 8965-Health Coverage Exemptions (PDF). 2017 Claim for Damages (PDF). 2023 Public Records Request (PDF) 2023 Commission-Committee Request (PDF) 2 Election (PDF) 2014 Form 8965 — Health Coverage Exemptions (PDF). 2023 Health Coverage Exemptions (PDF). 2012 Public Records Request (PDF) F. A. C. A., Public Utilities Code. (California Government) “Health-Insurance Coverage” means coverage under a life or medical liability insurance policy or any other coverage as defined by Section 25400 of the California Insurance Code (CAL. S. Title 25, Part 4.5 (a)) or an equivalent law.” H. K. A. M., Health and Safety Code. (California Government) “To be eligible for reimbursement of medical expenses under this chapter, a tax-payer must maintain or have maintained in effect an applicable health care coverage for a covered period during the tax year” IRS Form 6252—Statement for Individuals Reimbursement for Health Insurance Premiums (PDF) (1/18/19) 2015 Proposed Health Insurance Exemption Claim (PDF). Notice, 2015-13, Insurance Department (PDF). (PDF). (PDF). Notice, 2015-13, Inland Revenue Department (PDF). (PDF). 2014 Proposed Health Insurance Exemption Claim (PDF). Notice, 2014-01, Insurance Department (PDF). (PDF). Notice, 2014-01, Inland Revenue Department (PDF). (PDF). 2012 Proposed Health Insurance Exemption Claim (PDF). Notice, 2012-10, Insurance Department (PDF). (PDF). Notice, 2012-10, Inland Revenue Department (PDF). (PDF).

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