Irs form 13441 a 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your Social Security Number at the top of the form. This is crucial for identification.
3. In Part 1, fill in your general information including your name, date of birth, and contact details.
4. Move to Part 2 and check the appropriate boxes to confirm your eligibility for the HCTC program.
5. In Part 3, list any qualified family members you are registering. Ensure their details are accurate.
6. Complete Part 4 with health plan information. If applicable, provide details for family members on separate plans.
7. If you wish to designate a third party for account access, complete Part 5 with their information and choose a PIN.
8. Finally, review all sections in Part 6, sign and date the form before submission.

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