Request for 2025 1095-C Tax Form

Staff May Request Form Here

REQUEST FOR 2025 1095-C TAX FORM
In accordance with provisions under the Patient Protection and Affordable Care Act and the Paperwork Burden Reduction Act, employers are required to make available tax forms to covered individuals showing proof of minimum essential coverage (1095-C tax form) if a form is requested.
Employers who provide minimum essential coverage can provide a copy of this information to the covered individual through a 1095-C tax form each year. Employers can provide 1095-C tax forms to individuals upon request.
Requests for a 1095-C tax form will be fulfilled 30 days after the date of the request in accordance with the IRS by contacting Clark County Public Library Human Resources Department at: hroffice@ccplohio.org or by calling the HR Department at 937-323-9752.

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