This version of the form is not currently in use and is provided for reference only. Download this version of Form REV-1882 for the current year.
This is a legal form that was released by the Pennsylvania Department of Revenue - a government authority operating within Pennsylvania. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form REV-1882?
A: Form REV-1882 is the Health Insurance Coverage Information Request form in Pennsylvania.
Q: Who needs to complete Form REV-1882?
A: Pennsylvania residents who have individual health coverage or who are claiming an exemption from coverage need to complete Form REV-1882.
Q: What information is required on Form REV-1882?
A: Form REV-1882 requires information about the individual health insurance coverage, including the policy number, coverage start and end dates, and the insurance company's name and address.
Q: How do I submit Form REV-1882?
A: Form REV-1882 can be submitted by mail or electronically. Instructions for submission are provided on the form itself.
Q: When is the deadline for submitting Form REV-1882?
A: The deadline for submitting Form REV-1882 is typically April 15th of each year.
Q: What happens if I don't submit Form REV-1882?
A: Failure to submit Form REV-1882 or providing false information may result in a penalty or loss of exemption.
Q: Is there a fee for submitting Form REV-1882?
A: No, there is no fee for submitting Form REV-1882.
Form Details:
Download a fillable version of Form REV-1882 by clicking the link below or browse more documents and templates provided by the Pennsylvania Department of Revenue.