Important Tax Information

health insurance form with pen and stethoscope on it

Under federal law, you may request a copy of your IRS Form 1095-C, which reports information about your health coverage for the prior year.
To request your Form 1095-C, contact us using one of the following methods:

  • Email: HR.Benefits@myclearwater.com
  • Mailing Address: City of Clearwater, Human Resources Department, 100 N. Osceola Ave., Clearwater, FL 33755
  • Phone: (727) 562-4870

You may request your form at any time. Once requested, we will provide your Form 1095-C within 30 days of your request or by Jan. 31, whichever is later.

This notice is posted in accordance with IRS guidelines and will remain accessible through Oct. 15 of the year following the coverage year.

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