Employee 1095-C Forms Available on Request
Employee 1095-C Forms Available Upon Request
ACA Reporting Forms 1095-C (Employer Provided Health Insurance Offer and Coverage) will no longer be mailed out beginning with the 2024 reporting year. These forms will be available upon request only and will be provided within 30 days of such request being made.
Requests must include which form year you are asking for and the address (either e-mail/electronic or physical home address) to send the form.
Requests can be made in any of the following manners:
E-mail to: llanter@firstcity.org
Mail to: City of Leavenworth, Attn: HR Dept. 100 N. 5th Street Leavenworth, KS 66048
Please contact the HR Department by phone at 913-680-2608 or 913-680-2637 with any questions.
