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Form 8888 for Palmdale California: What You Should Know

IHSS Participant Number. IHSS Provider Forms for Filing Tax Return/Filing Status Changes Please complete and mail the following forms. This information will help us to provide you with the most up-to- date information about IHSS. (Include the completed form by the deadline date for your filing status). If you are an ATTN provider you may also want to fill out the IHSS Provider Form as a provider. For more information on ATTN Providers and IHSS, click here. Form 943 — IOC Form 8949 IRS Form 943 asks your health insurer if you have participated in the Patient Protection and Affordable Care Act (PACA). It will also ask for information about your health plan, deductibles or coinsurance, co-payments or out-of-pocket maximums, and enrollment periods and deadlines. IHSS Providers and How to Be a Provider IHSS Provider Forms for Filing Tax Return/Filing Status Changes Please complete and mail the following forms. This information will help us to provide you with the most up-to- date information about IHSS. If you are an ATTN provider you may also want to fill out the IHSS Provider Form as a provider. For more information on ATTN Providers and IHSS, click here. IHSS Plan/Beneficiary Search For more information about your eligibility for an IHSS plan/beneficiary, as well as your reporting requirements and other information, please visit the IHSS website. IHSS can also help with your tax year 2023 plan/beneficiary search or report for the current year. If you do not have an IHSS plan/beneficiary, please check out the IHSS Marketplace. Tax Preparation and Information Form 1040-X — Complete Schedule D to file IHSS Tax Returns/Schedule D IRS Form 1040-X provides summary information on Schedule D — Individuals, Schedules A and F-Corporations, and Schedules C and E. It is used by the IHSS provider to report tax returns and the IHSS provider and the taxpayer will need to complete exactly the same details. Form 1116 — IOC Form 8949 (Filing on a FICA) Use Form 1116 for the Filing of a Federal and IHSS tax return.

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