Form 105a 2025

Show details

4.8 out of 5

100 votes

The document is a Work History, Work Qualifications, and Training Disclosure Questionnaire from the Michigan Department of Labor and Economic Opportunity. It is designed for individuals to disclose their personal information, educational background, work experience, and any disabilities that may affect employment. The information collected may be used in legal proceedings related to workers' compensation claims. Completion of the form is voluntary, and it emphasizes the importance of sharing this information among all parties involved.

Here's how it works

01. Edit your form 105a online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

How to modify Form 105a online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

With DocHub, making adjustments to your documentation takes only some simple clicks. Follow these fast steps to modify the PDF Form 105a online free of charge:

Register and log in to your account. Log in to the editor with your credentials or click Create free account to evaluate the tool’s functionality.
Add the Form 105a for redacting. Click on the New Document button above, then drag and drop the sample to the upload area, import it from the cloud, or using a link.
Modify your template. Make any adjustments needed: insert text and images to your Form 105a, highlight important details, erase sections of content and replace them with new ones, and insert icons, checkmarks, and areas for filling out.
Finish redacting the template. Save the updated document on your device, export it to the cloud, print it right from the editor, or share it with all the parties involved.

Our editor is super user-friendly and effective. Try it now!

See more form 105a versions

We've got more versions of the form 105a form. Select the right form 105a version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2019	4.8 Satisfied (100 Votes)
2012	4.3 Satisfied (146 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

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.

What happens if I dont report my 1095-A?

You generally cannot file the tax return without the 1095-A and it gets rejected. If it does in fact get filed, then the IRS will catch it and recapture what is theirs when they get around to it. Highly advise not filing without the 1095-A just for a refund. It 100% will get caught and hurt.

How does the 1095-A affect my tax return?

You will use the information from the Form 1095-A to calculate the amount of your premium tax credit. You will also use this form to reconcile advance payments of the premium tax credit made on your behalf with the premium tax credit you are claiming on your tax return.

What is 1095-a form used for?

The Form 1095-A will tell you the dates of coverage, total amount of the monthly premiums for your insurance plan, the second lowest cost silver plan premium that you may use to determine the amount of your premium tax credit, and amounts of advance payments of the premium tax credit.

How to find 1095-A on NY State of health?

If a Form 1095-A is addressed to you and you are the account holder on your NY State of Health account, you can find the form in your online account at .nystateofhealth.ny.gov. Log in to your account and look for the Form 1095-A in your inbox.

Do I need a 1095-A to file my taxes?

Notice: You must have your Form 1095-A before you file. Dont file your taxes until you have an accurate 1095-A. If anything about your coverage or household is wrong, contact the Marketplace Call Center. Your 1095-A includes information about Marketplace plans anyone in your household had in 2024.

What is the IRS form for disability exemption?

Use Schedule R (Form 1040) to figure the credit for the elderly or the disabled.

How to get a copy of 1095a?

How to find your 1095-A online Log into your Marketplace account. Under Your applications, select your 2024 application not your 2025 application. Select Tax Forms. Download all 1095-As.

Why does the IRS say I need a 1095-A?

Form 1095-A, Form 1095-B, and some Forms 1095-C show who in your family enrolled in health coverage and for what months. Form 1095-A also provides premium information and other information you will need to reconcile advance payments of premium tax credit and claim the premium tax credit on Form 8962.

Form 105a 2025

Here's how it works