Health Coverage Tax Credit (HCTC) Monthly Registration and Update

Form 13441-A, Health Coverage Tax Credit (HCTC) Monthly Registration and Update Form will be directly mailed to all individuals who are potentially eligible for the HCTC. Potentially eligible individuals will use this form to determine if they are eligible for the Health Coverage Tax Credit and to register for the HCTC program. Participation in this program is voluntary. This form will be submitted by the individual to the HCTC program office in a postage-paid, return envelope. We will accept faxed forms, if necessary. Additionally, recipients may call the HCTC call center for help in completing this form.

The latest form for Health Coverage Tax Credit (HCTC) Monthly Registration and Update expires 2022-10-31 and can be found here.

Health Coverage Tax Credit (HCTC) Monthly Registration and Update

Federal Enterprise Architecture: General Government - Taxation Management

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