Requesting a 1095-C
Availability of Form 1095-C
Butler Machinery Company provides Form 1095-C, Employer-Provided Health Insurance Offer and Coverage, to eligible individuals upon request.
Form 1095-C contains information about health coverage offered to you during the applicable tax year.
How to Request a Copy
To request a copy of your Form 1095-C, please contact:
Jess Rykowsky
Phone: (701) 298-2198
Email: jessrykowsky@butlermachinery.comOR
Mail your request to:
Butler Machinery Company
ATTN: Jess Rykowsky
3401 33rd St S
Fargo, ND 58104Requests will be fulfilled within 30 days of the date the request is received.