Article: 50266

Overview

Form 3853 is used to calculate the Individual Shared Responsibility Penalty for any household member who did not maintain qualifying health coverage and did not qualify for an exemption.

This form is required if you did not have health coverage for the entire year and must either report an exemption or compute the applicable penalty.

Add Form 3853

To add the Form 3853:

1. Go to the State taxes section.
2. Select I’d like to see the forms I’ve filled out or search for a form.
3. In the drop list, select California.
4. Select the Healthcare tab.
5. Select 3853 – Health Coverage Exemptions to add and open the form.
6. Complete the form with your applicable information.
7. Click Save to apply changes.

Further Information

See CA Form 3853 instructions for more information.