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Matagorda County Human Resources and Payroll


2200 7th Street
Suite 203
Bay City, TX 77414
(979) 241-0135
FAX 979-245-4192

Information Regarding 1095-C:

Employer's are no longer required to distribute a printed Form 1095-C. These forms are available by request only. Please click on the button below to make a formal request for a copy of your Form 1095-C. Requests will be fulfilled within 30 days.

1095-C Form Request
Employee Name:required First, Middle Initial, Last Name
Year:required
Phone Number:required
Email:required
Confirm Email:
How would you like the form sent to you?required
Mailing Address (If selected):
Is all the information above correct?required
If you have any questions or concerns regarding the 1095-C Form, please contact the Human Resources Department at (979) 241-0135 or by email hr@co.matagorda.tx.us