1095-B Form
IMPORTANT HEALTH COVERAGE TAX DOCUMENTS
Eligible prior employees may receive a copy of their Form 1095-B, upon written request
via email to This email address is being protected from spambots. You need JavaScript enabled to view it. or mail to 

1499 E. West Maple, 
Walled Lake, Michigan 48390 
(attention Clerk’s Office).

Request must include: your full name, email, current address, and phone number to contact you, should we have any questions. 

The City of Walled Lake is an equal opportunity employer.