Form 1095-C for the 2025 tax year is available upon request. This form provides details about the health insurance coverage offered to you by Roy Jorgensen Associates, Inc.
IMPORTANT HEALTH COVERAGE TAX DOCUMENTS
How to Request Your Form:
You may request a copy of your Form 1095-C by using any of the following methods:
Email: Send a request to Contactus@royjorgensen.com
Mail: Send a written request to:
Roy Jorgensen Associates, Inc.
PO Box 70
Buckeystown, MD 21717
Please direct questions to the payroll department via the email above or by calling 301-831-1000
Timeline for Delivery:
Forms will be sent to the requesting individual within 30 days of receiving the request.
This notice will remain posted on this website through at least October 15, 2026.
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