ACA 1095: Employer-Provided Health Insurance form

ACA 1095: Employer-Provided Health Insurance form will not automatically be sent to employees or retirees. Copies will be kept on file in the business office. If you need a copy of your 1095 form, please submit a request to:

Susan Robertson
PASD Administrative Offices
300 Center St.
Punxsutawney, PA 15767
Phone: 814-938-5151
Email: [email protected].

Punxsutawney Area School District

300 Center Street, Punxsutawney, PA 15767 Phone: (814) 938-5151 Fax: (814) 938-6677

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