Federal Form W9 - Request for Taxpayer Identification Number and Certification
Application for Exemption from the Shared Responsibility
 
Payment for Individuals who Experience Hardships 
 
Instructions to Help You Complete an
 

Exemption Application at the

Health Insurance Marketplace

 

Individual Shared Responsibility Provision

Exemptions: Claiming or Reporting

THE HELP YOU NEED JUST ARRIVED

YOU JUST NEED TO CALL US!!!