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HCTC: Additional Resources

The following forms are used for the Health Coverage Tax Credit (HCTC):

  • Form 8885, Health Coverage Tax Credit: File this form with your federal income tax return to claim the HCTC for payments made directly to your qualified health plan.
  • Form 14116, Family Member Eligibility: Qualified family members of PGBGC and TAA recipients who have passed away or form whom they have finalized a divorce must complete and submit this form in order to designate their eligibility for the HCTC.
  • Form 13560, Health Plan Administrator (HPA) Return of Funds: In the event that an HPA needs to return funds to the HCTC Program, HPAs MUST complete this form and include it with their payment to the HCTC Program.

Return to the HCTC Quick References page.
Go to the HCTC Program home page.
 

Page Last Reviewed or Updated: 02-Jan-2014