Enter "TOTAL DEDUCTIBLE POLICY LOSSES PAID" in the appropriate box of Form 200. Application for Certificate of Eligibility for the Health Insurance Premium Tax Credit – Small Business Only.All insurance companies authorized to write workers' compensation policies in the State of Arizona are required to file Annual Workers' Compensation Tax forms. Notification of Health Insurance Coverage. Form Number 05-5542. Unemployment Insurance Benefits Tax Form 1099-G. DES has mailed 1099-G tax forms to claimants who received unemployment benefits in 2023. Welcome to the Maricopa County Treasurer's IRS Forms Page. This page provides links to the IRS Tax Forms. The Form 1095-A is used to reconcile Advance Premium Tax Credits (APTC) and to claim Premium Tax Credits (PTC) on your federal tax returns.