offered by
Massachusetts Department of Revenue

DOR Health Care Forms

Here you will find health care forms administered by the Massachusetts Department of Revenue (DOR).
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2018 DRAFTS

2018 DRAFT Schedule HC: Health Care Information (PDF 541.57 KB)
2018 DRAFT Schedule HC-CS: Health Care Information Continuation Sheet (PDF 558.86 KB)

2017

2017 Schedule HC: Health Care Information (PDF 93.76 KB)
2017 Schedule HC Instructions (PDF 153.32 KB)
2017 Schedule HC-CS: Health Care Information Continuation Sheet (PDF 117.73 KB)
2017 Form MA 1099-HC: Individual Mandate Massachusetts Health Care Coverage (PDF 64.84 KB)
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