2025 ACA Forms
Due to changes in federal law, Goessel USD 411 is providing notice that your 2025 Form 1095-C is available upon request. This form provides information about the health insurance coverage offered to you.
While you do not need to submit this form with your tax return, it is used to verify your coverage.
How to Request a Copy:
Please contact the HR/Payroll department to request your form:
Your form will be provided within 30 days of your request or by [Date], whichever is later.
- Email: smithj@usd411.org
- Phone: 620-367-4601our form will be provided within 30 days of your request.
