Form 1095-C must be issued by employers with 50+ full time employees (including full-time equivalent employees) to employees and to the IRS. Filers may submit multiple 1095-C batches to the IRS.

Be sure to order enough to give to your employees and submit to the IRS.

Three 1094 Transmittal Forms are included with your order.



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Affordable Care Act 1095 Double Window Envelope (Self Seal)

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Affordable Care Act Form Blank 1095-C w/Instructions

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LS-A Template PDF

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Label 1UP 8 1/4" x 11" (#1040)

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