{"id":2210,"date":"2023-11-17T20:10:06","date_gmt":"2023-11-17T20:10:06","guid":{"rendered":"https:\/\/alliantplans.com\/?page_id=2210"},"modified":"2024-06-26T18:44:08","modified_gmt":"2024-06-26T18:44:08","slug":"1095b-tax-request-form","status":"publish","type":"page","link":"https:\/\/alliantplans.com\/es\/1095b-tax-request-form\/","title":{"rendered":"1095b Tax Request Form"},"content":{"rendered":"<style>.kb-row-layout-id2210_e60567-d7 > .kt-row-column-wrap{align-content:start;}:where(.kb-row-layout-id2210_e60567-d7 > .kt-row-column-wrap) > .wp-block-kadence-column{justify-content:start;}.kb-row-layout-id2210_e60567-d7 > .kt-row-column-wrap{column-gap:var(--global-kb-gap-md, 2rem);row-gap:var(--global-kb-gap-md, 2rem);max-width:var( --global-content-width, 1440px );padding-left:var(--global-content-edge-padding);padding-right:var(--global-content-edge-padding);padding-top:var(--global-kb-spacing-sm, 1.5rem);padding-bottom:var(--global-kb-spacing-sm, 1.5rem);grid-template-columns:minmax(0, 1fr);}.kb-row-layout-id2210_e60567-d7 > .kt-row-layout-overlay{opacity:0.30;}@media all and (max-width: 1024px){.kb-row-layout-id2210_e60567-d7 > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}@media all and (max-width: 767px){.kb-row-layout-id2210_e60567-d7 > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}<\/style><div class=\"kb-row-layout-wrap kb-row-layout-id2210_e60567-d7 alignnone wp-block-kadence-rowlayout\"><div class=\"kt-row-column-wrap kt-has-1-columns kt-row-layout-equal kt-tab-layout-inherit kt-mobile-layout-row kt-row-valign-top kb-theme-content-width\">\n<style>.kadence-column2210_35e04d-bb > .kt-inside-inner-col,.kadence-column2210_35e04d-bb > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column2210_35e04d-bb > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 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                   <h2 class=\"gform_title\">SOLICITUD DE FORMULARIO FISCAL: 1095 B<\/h2>\n                            <p class='gform_description'>Rellene el formulario y todos los campos obligatorios, junto con su direcci\u00f3n de correo electr\u00f3nico o n\u00famero de tel\u00e9fono para que el Servicio de Atenci\u00f3n al Cliente pueda ponerse en contacto con usted si tiene alguna pregunta.\nPuede ponerse en contacto con el Servicio de Atenci\u00f3n al Cliente de Alliant en el 866-403-2785.   <\/p>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>&quot;<span class=\"gfield_required gfield_required_asterisk\">*<\/span>&quot; indicates required fields<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_27'  action='\/es\/wp-json\/wp\/v2\/pages\/2210' data-formid='27' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_27' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_27_20\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_27_20'><span class='gform-field-label__text'>X\/Twitter<\/span><\/label><div class='ginput_container'><input name='input_20' id='input_27_20' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_27_20'>This field is for validation purposes and should be left unchanged.<\/div><\/div><fieldset id=\"field_27_1\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Nombre<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_27_1'>\n                            \n                            <span id='input_27_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.3' id='input_27_1_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_27_1_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_27_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.6' id='input_27_1_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_27_1_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_27_5\" class=\"gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_27_5'><span class='gform-field-label__text'>Correo electr\u00f3nico<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_5' id='input_27_5' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_27_2\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--phone-format-standard gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_27_2'><span class='gform-field-label__text'>Tel\u00e9fono<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_2' id='input_27_2' type='tel' value='' class='large'  placeholder='(999) 999-9999' aria-required=\"true\" aria-invalid=\"false\"   data-mask=\"(999) 999-9999\" \/><\/div><\/div><div id=\"field_27_9\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_27_9'><span class='gform-field-label__text'>Contacto preferente<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_9' id='input_27_9' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Por correo electr\u00f3nico' >Por correo electr\u00f3nico<\/option><option value='Por tel\u00e9fono' >Por tel\u00e9fono<\/option><\/select><\/div><\/div><div id=\"field_27_10\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_27_10'><span class='gform-field-label__text'>\u00bfEs usted miembro?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_10' id='input_27_10' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='S\u00ed, soy miembro' >S\u00ed, soy miembro<\/option><option value='No, no soy miembro' >No, no soy miembro<\/option><\/select><\/div><\/div><fieldset id=\"field_27_6\" class=\"gfield gfield--type-time gfield--input-type-time gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Seleccione a continuaci\u00f3n la hora a la que prefiere que le llamemos:<\/span><\/legend><div class=\"ginput_container ginput_complex gform-grid-row\">\n                        <div class='gfield_time_hour ginput_container ginput_container_time gform-grid-col' id='input_27_6'>\n                            <input type='number' name='input_6[]' id='input_27_6_1' value=''  min='0' max='12' step='1'  placeholder='HH' aria-required='false'   \/> \n                            <label class='gform-field-label gform-field-label--type-sub hour_label screen-reader-text' for='input_27_6_1'>Hours<\/label>\n                        <\/div>\n                        <div class=\"above hour_minute_colon gform-grid-col\">:<\/div>\n                        <div class='gfield_time_minute ginput_container ginput_container_time gform-grid-col'>\n                            <input type='number' name='input_6[]' id='input_27_6_2' value=''  min='0' max='59' step='1'  placeholder='MM' aria-required='false'  \/>\n                            <label class='gform-field-label gform-field-label--type-sub minute_label screen-reader-text' for='input_27_6_2'>Minutes<\/label>\n                        <\/div>\n                        <div class='gfield_time_ampm ginput_container ginput_container_time above gform-grid-col' >\n                                \n                                <select name='input_6[]' id='input_27_6_3'  >\n                                    <option value='am' >AM<\/option>\n                                    <option value='pm' >PM<\/option>\n                                <\/select>\n                                <label class='gform-field-label gform-field-label--type-sub am_pm_label screen-reader-text' for='input_27_6_3'>AM\/PM<\/label>\n                           <\/div>\n                    <\/div><\/fieldset><div id=\"field_27_11\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_27_11'><span class='gform-field-label__text'>Su identificaci\u00f3n de miembro:<\/span><\/label><div class='ginput_container ginput_container_text' data-text-counter-max='30' data-text-counter-template='{current} of {max} max characters'><input name='input_11' id='input_27_11' type='password' value='' class='large' maxlength='30'     aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_27_13\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_27_13'><span class='gform-field-label__text'>Fecha de nacimiento<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_13' id='input_27_13' type='password' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_27_19\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_27_19'><span class='gform-field-label__text'>Direcci\u00f3n<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_19' id='input_27_19' type='password' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_27_12\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_27_12'><span class='gform-field-label__text'>A continuaci\u00f3n le ofrecemos un breve resumen:<\/span><\/label><div class='ginput_container ginput_container_textarea' data-text-counter-max='1000' 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