[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-302554-105":53,"doc-detail-302554-en":126},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":119,"head_meta":121,"extra_data":123,"updated_unix":125},105,"en","request-for-replacement-tax-form-1095-c-2025","Request for Replacement Tax Form 1095-C - 2025","","This document serves as an official request form for employees of Illinois State University to obtain a replacement 1095-C tax form for the 2025 tax year. It provides clear instructions for the submission process, emphasizing that manual signatures are required and electronic signatures are not accepted. The form requires personal identifiers such as the user's University ID (UID), contact information, and current mailing address. Furthermore, it outlines specific protocols for both mail delivery and in-person pickup, requiring a valid photo identification for those choosing to collect their documents at the University Payroll Office. The form is strictly designed for official use and must not be altered, ensuring accurate processing and adherence to the university's human resources and payroll documentation standards.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/request-for-replacement-tax-form-1095-c-2025/302554/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/request-for-replacement-tax-form-1095-c-2025/302554.png","ImageObject",442,249,{"name":88,"@type":89},"Ophelia","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-09-23","2026-09-19",true,{"@type":98,"interactionType":99,"userInteractionCount":73},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"What should I do if I need replacement tax forms for multiple years?","Question",{"text":108,"@type":109},"If you require duplicate tax forms for more than one year, you must submit separate forms for each individual tax year.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"Are electronic signatures accepted on this form?",{"text":113,"@type":109},"No, electronic signatures are not accepted; you must print and sign the document manually.",{"name":115,"@type":106,"acceptedAnswer":116},"What is required if I choose to pick up my tax document in person?",{"text":117,"@type":109},"If you are picking up your tax document, you must bring a valid photo ID, such as a University ID card or a Driver’s License.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},302554,1790207727,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":73,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":9,"language":135,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":61,"update_tm":139,"read_time":4},7971461741311,"https://ap-avatar.wpscdn.com/avatar/74000253aff267980c6?x-image-process=image/resize,m_fixed,w_180,h_180&k=1779345379180704826","University Payroll Office  \nCampus Box 0580 Normal, IL 61790-0580 Phone: (309) 438-7677  \nFax: (309) 438-3357  \n[Payroll.IllinoisState.edu](Payroll.IllinoisState.edu)  \n\n| Request for Replacement Tax Form 1095-C |  |  |  |\n| --- | --- | --- | --- |\n| 1. | Enter your information |  |  |\n| 2. | Print and sign (NO ELECTRONIC SIGNATURE ACCEPTED) |  |  |\n| 3. | Mail to the University Payroll Office (email accepted) |  |  |\n| 4. | If you need duplicate tax forms for more than one year, submit separate forms for each year A replacement will only be mailed to the address on file with the University. For help verifying/updating your address, follow the instructions outlined by Human Resources here or call (309) 438‐8311. |  |  |\n| Personal Information Tax Year: 2025 |  |  |  |\n| I am a: Current Employee Reason: Never Received Delivery: I will pick it up\u003Cbr>UID: Phone: Email:\u003Cbr>If you are picking up your tax document, bring in a photo ID (such as University ID card or Driver’s License) |  |  |  |\n| Mailing Address |  |  |  |\n| Street Address:\u003Cbr>City: |  | Note: This address must match the address on file with the University\u003Cbr>State: Zip: |  |\n| For non‐U.S. addresses only\u003Cbr>Region: |  | Country: | Mail Code: |\n| Authorization |  |  |  |\n| This form is considered invalid if it has been altered in any way or any unauthorized additions have been made to it.\u003Cbr>Employee Signature   Date   /   /  \u003Cbr>Printed Name   |  |  |  |\n| University Payroll Office (UPO) Use Only |  |  |  |\n\nDate Mailed   /   /   UPO Initials   \nPickup Date   /   /   Employee Signature   An equal opportunity/affirmative action university encouraging diversity","cbCaivSCN3klYJJD","https://ap.wps.com/l/cbCaivSCN3klYJJD","pdf",380043,"English","# Request for Replacement Tax Form 1095-C\n## Submission Instructions\n## Personal Information\n## Mailing Address\n## Authorization","[{\"question\":\"What should I do if I need replacement tax forms for multiple years?\",\"answer\":\"If you require duplicate tax forms for more than one year, you must submit separate forms for each individual tax year.\"},{\"question\":\"Are electronic signatures accepted on this form?\",\"answer\":\"No, electronic signatures are not accepted; you must print and sign the document manually.\"},{\"question\":\"What is required if I choose to pick up my tax document in person?\",\"answer\":\"If you are picking up your tax document, you must bring a valid photo ID, such as a University ID card or a Driver’s License.\"}]","Request for Replacement Tax Form 1095-C - 2025 | PDF",1789794086]