Request Form 1095-C

There are three ways to request a copy of your Form 1095-C.  Your form will be provided within 30 days of request:

• Complete the Google Form: 1095-C Request
• Email payroll@ouboces.org
• Mail request to:
  OUB Payroll
  53 Gibson Road
  Goshen, NY 10924

Please call 845-291-0171 with any questions.