Form 3853 Health Coverage Exemptions and Individual Shared Responsibility Penalty - California

Form 3853 Health Coverage Exemptions and Individual Shared Responsibility Penalty - California

What Is Form 3853?

This is a legal form that was released by the California Franchise Tax Board - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form 3853?
A: Form 3853 is the Health Coverage Exemptions and Individual Shared Responsibility Penalty form specific to California.

Q: What is the purpose of Form 3853?
A: The purpose of Form 3853 is to claim a health coverage exemption or report an individual shared responsibility penalty for California residents.

Q: Who needs to use Form 3853?
A: California residents who are claiming a health coverage exemption or reporting an individual shared responsibility penalty need to use Form 3853.

Q: What is a health coverage exemption?
A: A health coverage exemption is a specific circumstance that allows individuals to be exempt from having to pay a penalty for not having health insurance.

Q: What is the individual shared responsibility penalty?
A: The individual shared responsibility penalty is the penalty that individuals may have to pay if they do not have qualifying health insurance throughout the year.

Q: When is Form 3853 due?
A: Form 3853 is typically due by the tax filing deadline, which is generally April 15th of each year.

Q: What happens if I don't file Form 3853?
A: If you are required to file Form 3853 but fail to do so, you may be subject to penalties and interest.

Q: Are there any exceptions to the individual shared responsibility penalty?
A: Yes, there are several exemptions available that can waive the individual shared responsibility penalty. These exemptions include religious exemptions, hardship exemptions, and exemptions for certain types of coverage.

Q: Can I claim a health coverage exemption on Form 3853 if I had coverage for part of the year?
A: Yes, you can claim a health coverage exemption on Form 3853 even if you had coverage for only part of the year. You will need to provide documentation to support your exemption claim.

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Form Details:

  • The latest edition provided by the California Franchise Tax Board;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form 3853 by clicking the link below or browse more documents and templates provided by the California Franchise Tax Board.

Download Form 3853 Health Coverage Exemptions and Individual Shared Responsibility Penalty - California

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