FORM 1095-C AVAILABLE UPON REQUEST
If you were a full-time employee for the City of Waupaca during the applicable tax year, you may receive a copy of your Form 1095-C upon request.
Form 1095-C provides information about the health coverage offered to you by the City. You may need this form for your personal tax records.
To request a copy of your Form 1095-C, please contact us using one of the methods below:
Email: employment@waupacawi.gov
Phone: 715-258-4411
Mail: 111 S. Main Street, Waupaca WI 54981
Please include your full name, current mailing address, and the tax year requested. Requests will be fulfilled within 30 days of receipt.