Volunteer Income Tax Assistance (VITA) Certification Practice Test

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What form must Teresa complete to claim a short coverage gap exemption?

  1. Form 1040

  2. Form 8962

  3. Form 8965

  4. Form W-2

The correct answer is: Form 8965

To claim a short coverage gap exemption, Teresa needs to complete Form 8965. This form is specifically designed to report an exemption from the Affordable Care Act’s individual shared responsibility provision, which mandates that individuals maintain minimum essential coverage unless they qualify for an exemption. The short coverage gap exemption allows individuals to go without insurance for a limited period (usually less than three consecutive months) without facing a penalty. When filling out Form 8965, Teresa will provide information regarding her coverage status during the year and indicate that she qualifies for the short coverage gap exemption by identifying the months without coverage. Other forms like Form 1040 are used for reporting income and calculating tax liability, Form 8962 is for claiming the Premium Tax Credit, and Form W-2 is for reporting wages and tax withheld by an employer. None of these forms are appropriate for claiming a coverage exemption related to the Affordable Care Act. Thus, Form 8965 is the correct choice in this scenario.