Form 8885, Health Coverage Tax Credit Instructions
This form contains 18 fields organized into 5 sections. Below is a complete list of every field, its type, and what information is expected.
| Field Name | Type | Description |
|---|---|---|
| Calculations | ||
| Subtract line 3 from line 2. Enter the result, but not less than zero 4 | Text |
Subtract the amount on line 3 from the amount on line 2. Enter the result, but not less than zero.
|
| Claim Months | ||
| topmostSubform[0].Page1[0].c1_1[0]_1 | CheckBox |
Check this box if you are claiming the Health Coverage Tax Credit for January.
|
| topmostSubform[0].Page1[0].c1_2[0]_1 | CheckBox |
Check this box if you are claiming the Health Coverage Tax Credit for February.
|
| topmostSubform[0].Page1[0].c1_3[0]_1 | CheckBox |
Check this box if you are claiming the Health Coverage Tax Credit for March.
|
| topmostSubform[0].Page1[0].c1_4[0]_1 | CheckBox |
Check this box if you are claiming the Health Coverage Tax Credit for April.
|
| topmostSubform[0].Page1[0].c1_5[0]_1 | CheckBox |
Check this box if you are claiming the Health Coverage Tax Credit for May.
|
| topmostSubform[0].Page1[0].c1_6[0]_1 | CheckBox |
Check this box if you are claiming the Health Coverage Tax Credit for June.
|
| topmostSubform[0].Page1[0].c1_7[0]_1 | CheckBox |
Check this box if you are claiming the Health Coverage Tax Credit for July.
|
| topmostSubform[0].Page1[0].c1_8[0]_1 | CheckBox |
Check this box if you are claiming the Health Coverage Tax Credit for August.
|
| topmostSubform[0].Page1[0].c1_9[0]_1 | CheckBox |
Check this box if you are claiming the Health Coverage Tax Credit for September.
|
| topmostSubform[0].Page1[0].c1_10[0]_1 | CheckBox |
Check this box if you are claiming the Health Coverage Tax Credit for October.
|
| Eligibility | ||
| topmostSubform[0].Page1[0].c1_11[0]_1 | CheckBox |
Check this box if you are eligible to claim the Health Coverage Tax Credit (HCTC) for the specified month.
|
| topmostSubform[0].Page1[0].c1_12[0]_1 | CheckBox |
Check this box if you are eligible to claim the Health Coverage Tax Credit (HCTC) for another specified month.
|
| Financial Information | ||
| Enter the total amount of any Archer MSA or health savings accounts distributions used to pay for HCTC-qualified health insurance coverage for the months checked on line 1 3 | Text |
Enter the total amount of any Archer MSA or health savings accounts distributions used to pay for HCTC-qualified health insurance coverage for the months checked on line 1.
|
| topmostSubform[0].Page1[0].f1_6[0 | Text |
Enter the total amount paid for health insurance coverage.
|
| Personal Information | ||
| topmostSubform[0].Page1[0].f1_1[0 | Text |
Enter the recipient's full name.
|
| Recipient's social security number | Text |
Enter the recipient's social security number. This should be a 9-digit number.
|
| topmostSubform[0].Page1[0].f1_3[0 | Text |
Enter your personal information such as your name.
|