Religious Exemption Insurance Form Available

12/28/2013 7:00 AM

The form to apply for a religious exemption from the Affordable Care Act’s mandate to purchase insurance is now available.

The 2010 health care law, nicknamed Obamacare, requires that people buy health insurance except under certain circumstances.

The religious exemption is available to people, such as the Amish, who reject insurance on religious grounds.

People who receive the exemption will be assigned an exemption certificate number they will need to put on their federal income tax return.

On the exemption form, applicants will need to provide the name and address of their religious affiliation, Social Security numbers of the individuals to be exempted, and a copy of an approved IRS Form 4029, which exempts sect members from Social Security and Medicare.

Applicants may obtain more information and request forms by calling 800-318-2596. The form can also be downloaded at

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