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Individual Tax Return
Instructions for Form 1040
Request for Taxpayer Identification Number (TIN) and Certification
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Employee's Withholding Allowance Certificate
Employer's Quarterly Federal Tax Return
Employers engaged in a trade or business who pay compensation
Installment Agreement Request

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Rules Governing Practice before IRS

About Form 8928, Return of Certain Excise Taxes Under Chapter 43 of the Internal Revenue Code

Group health plans or employers file this form to report the tax due on the following failures.

  • A failure to provide a level of coverage of the costs of pediatric vaccines (as defined in section 2612 of the Public Health Services Act) that is not below the coverage provided as of May 1, 1993.
  • A failure to satisfy continuation coverage requirements under section 4980B.
  • A failure to meet portability, access, renewability, and market reform requirements under sections 9801, 9802, 9803, 9811, 9812, 9813, and 9815.
  • A failure to make comparable Archer MSA contributions under section 4980E.
  • A failure to make comparable health savings account (HSA) contributions under section 4980G.

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Other Items You May Find Useful

All Revisions for Form 8928

Form 7004, Application for Automatic Extension of Time To File Certain Business Income Tax, Information, and Other Returns

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Comment on Form 8928

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