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WebMar 21, 2024 · This form is mailed to the IRS and to the insured member by health insurance carriers, government-sponsored plans such as Medicare, Medicaid, and CHIP, and self-insured small employers. But you may have to request Form 1095-B if you want it, as it may not be sent to you automatically the way it was in the past. WebForm 760PY Page 1 Your Name Your SSN SECTION A SCHEDULE OF INCOME Form 760PY, Column A — All Filers Must Complete This Schedule — You (Include Spouse if Filing Status 2) Column A1 Federal Return Column A2 While VA Resident Column A3 While NOT VA Resident 1. Wages, salaries, tips, etc..... 1.00 .00 .00 2. theories in pmp
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