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Southern Oregon Active Health, LLC Casey Frieder, DC 233 4th St Ashland, OR 97520 O: 5417082088 F: 5418047710 www.soactivehealth.com FINANCIAL HARDSHIP APPLICATION A. FAMILY INFORMATION 1. Full Name.

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Hardship exemptions You were homeless. You were evicted or were facing eviction or foreclosure. You got a shut-off notice from a utility company. You experienced domestic violence. You experienced the death of a family member.

An exemption that's needed when applying for Catastrophic coverage for people 30 and older who faced a "hardship" that prevented them from getting insurance.

An economic hardship occurs when we have determined the levy prevents you from meeting basic, reasonable living expenses. In order for the IRS to determine if a levy is causing hardship, the IRS will usually need you to provide financial information so be prepared to provide it when you call.

A death of a close family member hardship could apply to you and the dependent(s) you claim on your tax return. Fire, Flood, or Other Disaster. F-7. To qualify for this exemption: You must have experienced the disaster within the last 3 years.

Catastrophic coverage is a phase of coverage designed to protect you from having to pay very high out-of-pocket costs for prescription drugs. It usually begins after you have spent a pre-determined amount on your health care. For example, Part D prescription drug plans offer catastrophic coverage.

Request an expedited refund by calling the IRS at 800-829-1040 (TTY/TDD 800-829-4059). Explain your hardship situation; and. Request a manual refund expedited to you.

Health insurance coverage is no longer mandatory at the federal level, as of Jan. 1, 2019. Some states still require you to have health insurance coverage to avoid a tax penalty.

Letters from medical professionals, as evidence of physical and/or emotional conditions that will lead to extreme hardship to the U.S. relative. Copies of tax returns and/or pay statements as evidence of your household income. Copies of statements showing any debts that need to be settled in the United States.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232