Important 2024 Form 1095-C Available Upon Request

The 2024 Form 1095-Cs are prepared and available upon request. The form provides information about offers of coverage made to employees. 

To request a copy of your form or for further information about the 1095-C, contact the following:

  • Email: AskHR@barberni.org
  • Phone: (814)-878-5916

Delivery options:

  • Mail
  • Pick up in person after you receive a notification that your copy is available for pick up at 100 Barber Place, Erie, PA 16507
  • Sent electronically (with written consent)

Your form will be provided within 30 days of your request.