To request an extension for mailing your 1095 forms to employees, you must send a letter to: 

 

Internal Revenue Service

Attn: Extension of Time Coordinator

240 Murall Drive

Mail Stop 4360

Kearneysville, WV 25430. 

 

Include the following information in your letter:

 

A. Company Name

B. Company TIN

C. Company address

D. Type of return

E. A statement explaining that this extension request is for providing statements to recipients (mailing your 1095 forms to employees)

F. Reason for delay (Why do you need the extension?)

G. Signature of the filer or authorized agent. 

 

If you plan on requesting an extension, we recommend doing so as soon as possible. As always, ACA TRACK urges you to consult with your legal and tax experts on IRS matters such as this.