Create your 1095 c Order Form from scratch

Start Building Now
Title decoration

Here's how it works

01. Start with a blank 1095 c Order Form
Open the blank document in the editor, set the document view, and add extra pages if applicable.
02. Add and configure fillable fields
Use the top toolbar to insert fields like text and signature boxes, radio buttons, checkboxes, and more. Assign users to fields.
03. Distribute your form
Share your 1095 c Order Form in seconds via email or a link. You can also download it, export it, or print it out.

A detailed walkthrough of how to design your 1095 c Order Form online

Form edit decoration

Step 1: Start with DocHub's free trial.

Visit the DocHub website and sign up for the free trial. This provides access to every feature you’ll require to build your 1095 c Order Form with no upfront cost.

Step 2: Access your dashboard.

Log in to your DocHub account and navigate to the dashboard.

Step 3: Craft a new document.

Hit New Document in your dashboard, and select Create Blank Document to design your 1095 c Order Form from scratch.

Step 4: Use editing tools.

Place different fields such as text boxes, radio buttons, icons, signatures, etc. Organize these elements to match the layout of your form and designate them to recipients if needed.

Step 5: Organize the form layout.

Organize your form easily by adding, repositioning, deleting, or combining pages with just a few clicks.

Step 6: Craft the 1095 c Order Form template.

Turn your freshly designed form into a template if you need to send many copies of the same document repeatedly.

Step 7: Save, export, or share the form.

Send the form via email, share a public link, or even post it online if you aim to collect responses from a broader audience.

be ready to get more

Build your 1095 c Order Form in minutes

Start creating now

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.
Contact us
Please allow 10 business days for delivery. If you have not received your 1095-C form by mid-March, please contact the HR Service Center to request a reprint. Note: You may not need to wait until Form 1095-C arrives to complete your taxes.
If the employee was issued a 1095-C, request a duplicate from ACA Online Support at (916) 322-3770 or by email at acasupport@sco.ca.gov. Include the employees full name and the last four digits of their Social Security Number in the request.
Furnishing Forms 1095-C to Employees You will meet the requirement to furnish Form 1095-C to an employee if the form is properly addressed and mailed on or before the due date. If the due date falls on a weekend or legal holiday, then the due date is the following business day.
Although information from the Form 1095-C information about an offer of employer provided coverage - can assist you in determining eligibility for the premium tax credit, it is not necessary to have Form 1095-C to file your return.
Log into your Marketplace account. Under My Applications Coverage, select your 2023 application not your 2024 application. Select Tax forms from the menu on the left. Under Your Forms 1095-A for Tax Filing, click Download [PDF], and follow these steps based on your browser: How to find your Form 1095-A online.
be ready to get more

Build your 1095 c Order Form in minutes

Start creating now

Related Q&A to 1095 c Order Form

No later than 30 days after January 31, the State of California, via the State Controllers Office, will issue a Form 1095-C to its full-time employees with information about the health coverage offered, if any, to the employee, their spouse and dependents.
This Form 1095-C includes information about the health insurance coverage offered to you by your employer. Form 1095-C, Part II, includes information about the coverage, if any, your employer offered to you and your spouse and dependent(s).

Additional resources on building your forms