Important Health Coverage Tax Documents – 1095-C Form

To obtain a copy of your 2024 Form 1095-C, please submit your request via email or mail to the contact below. Your form will be mailed to you within 30 days of your request.

Shannon Ulsh, Human Resources Benefits Specialist
Commonwealth Charter Academy
1 Innovation Way
Harrisburg, PA 17110
Phone: 717-710-3300, ext. 11178
[email protected]