Employees may request a copy of their Form 1095 (Health Coverage Statement) from the Payroll Department.

Form 1095 provides information about the health coverage offered to you during the applicable tax year. You may need this form for your records or for tax filing purposes.

How to Request Your Form 1095

To obtain a copy, please submit a request by one of the following methods:

• Email: ttorres@cresskillnj.net

• Phone: 201-227-7791 x1215

If emailing the request, the email must come from your @cresskill email unless you no longer work in the district.

Please include the following information in your request:

• Full name

• Employee ID number (if available)

• Tax year being requested

• Current mailing address

All requests will be processed within 30 days of receipt. The form will be mailed to the address provided or delivered electronically, if requested.

If you have any questions, please contact the Payroll Department.