Request Your 1095-C Form

Please complete the form on this page to request a copy of your IRS Form 1095-C.

Please Note: if you are in New Jersey or Massachusetts, your 1095-C form has already been mailed to you.

To request a copy of your Form 1095-C by phone:
Call (805) 880-1987. 

To request a copy of your Form 1095-C by mail, please send a request to:

Partners Personnel
Attn: Benefits Department
3820 State Street, Suite B
Santa Barbara, CA 93105