IRS Form 1095-C

Notice Regarding IRS Form 1095-C Availability
IMPORTANT TAX INFORMATION – IRS FORM 1095-C
IMPORTANT TAX INFORMATION – IRS FORM 1095-C
Pursuant to the Paper Reduction Act and applicable IRS regulations, Warehouse Home Furnishings, Inc. will furnish
IRS Form 1095-C (Employer-Provided Health Insurance Offer and Coverage) to current and former employees upon request.
Form 1095-C provides information about health coverage offered by Warehouse Home Furnishings, Inc.
Form 1095-C provides information about health coverage offered by Warehouse Home Furnishings, Inc.
and may be needed to file your federal income tax return.
How to Request a Copy of Your Form 1095-C
If you would like to receive a copy of your Form 1095-C, you may request one using any of the following methods:
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Phone: 800-465-3259
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Mail: PO Box 1140; Dublin, GA 31040; Attn: Human Resources
Requests may be made by current or former employees. Once requested, Form 1095-C will be furnished within 30 days of the request.
Additional Information
You do not need to attach Form 1095-C to your federal income tax return. However, you should keep it with your tax records.
If you have questions about this notice or your Form 1095-C, please contact the Human Resources Department using the information above.

