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IRS Form 8965 is the form you file to claim an exemption to waive the penalty for not having minimum health insurance coverage. Learn more about Form 8965. PO Box 8965. Madison, WI 53708-8965. If you are remitting estimated Wisconsin income tax payments: With voucher, Form 1-ES. Wisconsin Department of RevenueFind Federal form 8965 instructions at eSmart Tax today. E-file your state and federal tax returns with us and receive the biggest refund guaranteed! If your exemption is approved, you'll report it on your tax return by following the instructions found on IRS Form 8965. We'll look at both instances This will reduce the amount of your shared responsibility payment. For more information, see the Form 8965 instructions or go to IRS.gov/SRP. ( D 5.402 : IN 7/3 ) , 95-8965 Instructions for Form 1116 , computation of foreign tax credit United States . Internal Revenue Service . 2014 Instructions for Form 8965 Health Coverage Exemptions ( and instructions for figuring your shared responsibility payment ) Cat . No.