How to Request Your 1095 Form

If you need to request your individual 1095 Form, Riley Sheridan, our Human Resources/Administrative Assistant, is here to help. Follow these simple steps to receive your form:

1: Email Request

Send an email to Riley Sheridan at [email protected] with the subject line "1095 Form Request".

2:Include Details

In your email, please include your full name, employee ID if applicable, and the tax year for which you need the 1095 Form.

3: Processing Time

Riley will process your request within 3-5 business days. You will receive a confirmation email once your form is ready.

4: Receiving the Form

You can choose to receive your 1095 Form either via email (with consent) have the form mailed or pick it up in person from the HR office. Please specify your preference in your email request.

If you have any questions or need further assistance, feel free to contact Riley Sheridan directly at [email protected] or call the HR office at 904-733-4444.

Thank you!