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Personal | FTB.ca.gov

*Health Insurance Hardship exemptions from the Affordable Care Act *
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QPP Exception Applications Intro - QPP

Hardship Exemption Form - Fill and Sign Printable Template Online
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Download health coverage exemption forms | HealthCare.gov

Marketplace Hardship Exemptions | H&R Block
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Health coverage exemptions, forms, and how to apply | HealthCare

ObamaCare Exemptions List
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General Hardship Exemption

ObamaCare Mandate: Exemption and Tax Penalty - Illinois Health Agents
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SD EMS Medical Director Hardship Exemption | South Dakota

Health Insurance Marketplace Mandate, Enrollment and Plans | H&R Block
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NJ Health Insurance Mandate
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Health Insurance Marketplace Application for Exemption
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Exemption: General Hardship (PDF)

Exemption Certificate Number (ECN)
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