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Form 1095-A Virginia Fairfax: What You Should Know

Individuals may apply online for a Social Security number to use to receive a 1095 A form. 1095-A forms may only be used to: • Receive an ESI refund ; or • Get a Medicare reimbursement for eligible health care services. You must request your ESI refund by the due date for filing your 1040. People who may be eligible for Medicare, or may be able to get qualified health care through the Medicare program, may be asked to receive an ESI return. They can choose not to do so if they believe it is too costly. For information about the 1095-A Form and how to submit it, call. You can also file with the Medicare Provider Notify Program (PANEL) at any time to find out if a Medicare provider is participating in your Medicare account. If you have questions about Medicare program eligibility, you can find more information at: • 800-MEDICARE) • from outside the United States How to Use Form 1559, Application for Taxpayer Identification Number A person, firm, or corporation, that does business in the State of Illinois, but not in the city of Chicago, may apply for and obtain a Taxpayer Identification Number (ITIN) through a procedure called “TAX TRANSFER.” Form 1559 is the application and must be submitted to the IRS at the following address: US Treasury Department Internal Revenue Service. Internal Revenue Service Central Processing Unit, PO Box 733, Louisville, KY 40-0001 (fax:) TAX TRANSFER. The following information and forms are required to qualify for a Taxpayer Identification Number (TIN): Information provided by the applicant, such as his name, taxpayer identification number and address. The applicant's social security number and date of birth. A signature under oath: and Evidence of the applicant's Social Security number. The IRS will not provide a TIN for anyone who does not have a valid Social Security number.  A document or certificate verifying the applicant's identity, if more than one document is available. Any document evidencing a change in any person's name or address. The IRS requires Tins to be issued on a monthly basis.

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