Download Employment Forms
Forms
Policies and Procedures
Benefits
Payroll and Timecards
Forms
Policies and Procedures
Benefits
Payroll and Timecards
Form 1095-C, Employer-Provided Health Insurance Offer and Coverage, is available upon request. This form contains important information about the health coverage offered to you by Quantum Recruiters Inc.
If you would like to receive a copy of your Form 1095-C, please contact:
Email: payroll@quantumrecruiters.net
Phone: 541-683-1757
Mailing Address: Quantum Recruiters Inc, 270 Oakway Center, Eugene, OR 97401
You may request your form by email, phone, or mail. Please include your full name, current mailing address, and the tax year for which you are requesting the form. Your Form 1095-C will be provided within 30 days of your request.