Official Site of The State of New Jersey

NJ-1095 Instructions

Step 1: Choosing the Right Form

To decide if you should be filing an NJ-1095 form, go to Transmit. If the NJ-1095 is the right 1095 form for you, go to Step 2.

Step 2: Download an NJ-1095 Form.

• The 2024 form
• The 2023 form
• The 2022 form
• The 2021 form
• The 2020 form
• The 2019 form

If the form opens in Adobe Acrobat Reader or another PDF reader, you are ready to begin filling forms. Go to Step 4.

If the following message appears, Go to Step 3:

Step 3: Troubleshooting PDF Problems When the Form Won't Open

The message below appears because the NJ-1095 form is in a PDF form format that must be opened in Adobe Acrobat Reader, and your browser uses an application other than Adobe Acrobat Reader to open PDF files. The message looks like this:

To get a usable NJ-1095 form on your screen after seeing the above message:

1. Make sure you have Adobe Acrobat Reader. It is a free application.
2. Open Adobe Acrobat Reader and select File, which is in the upper left-hand corner of the screen. In the menu that appears, select Open.
3. Using the menu that appears, find the Downloads folder. (Or another folder if your browser is set up to download files to a folder other than the Downloads.)
4. If present, open the file named NJ_1095_2020. (Or NJ_1095_2019 if you are looking for the 2019 form.)
5. If the desired file is not present, try the following: Using your computer's search capabilities, look for the file by name. Find the folder where the file is stored. Then use Adobe Acrobat Reader to go to that folder and open the file.

Step 4: Register to File

Register to use the fillable file system in the Central Forms Depository.

Make sure to record your username and password.

The registration steps:

1. After going to the link, select Register Now below the login box.
2. Select Division of Taxation – 1095 Health Coverage Form from the drop-down menu.
3. Select Company Registration.
4. Choose a username and enter the information requested. You must have a separate email address for each account. You cannot have multiple accounts under the same email address.
5. Submit your information.
6. An email will be sent to the address you entered with your username and a temporary password.
7. Use the link in the email to log in with your temporary password. Then select a new password.
8. Make sure you record your Username and Password. You will need it each time you file.

If you have any difficulties registering or logging in, contact the Central Forms Depository.

Step 5: Completing Your Return(s)

1. From the Main Menu, select Save and save each form with a unique name. (Example: Hernandez1095.pdf)
2. Complete each form. Use the instruction links in the form if you have questions about how to fill it out.
3. Save each file.

Step 6: Transmitting Forms

1. When you have completed and saved all 1095 PDFs, begin opening the forms so you can send them one by one.
2. At the top of a form are four buttons. Select the button that says File Your Application.
3. A message instructing you to save your file will appear. Select the OK button.
4. A browser will pop up with a prompt asking you to login.
5. Enter the username and password that you have saved for the Central Forms Repository and Payment Collection system.
6. From the Main Menu select Create My Return.
7. Follow the filing instructions.
8. When you get to the screen that says My Submissions, select Create a New Submission, and follow the prompts.
9. Repeat this process for each form.